Production Animal Clinical Toxicology
Hepatic Disorders: Pyrrolizidine Alkaloids
Plants | Epidemiology | Pathogenesis | Clinical Signs | Clinical Pathology | Necropsy | Diagnosis | Treatment | Control
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Plants
Echium plantagineum - Paterson's curse
Senecio spp. - fireweeds, ragwort
Heliotropium spp. - heliotropes
Crotolaria spp. - rattlepods
Epidemiology
animal factors
- all species can be affected
- pigs more susceptible than cattle/horses, sheep less susceptible
- often need several seasons of exposure before toxicity evident
plant/environmental factors
- prolonged and repeated poor seasons lead to pasture contamination to sufficient levels
- may be only growth present
- plant flush after break in drought
- generally plants are not palatable, although sheep eat Paterson's curse
- may have mixture of species (eg Heliotropium and Echium) in a paddock
- can have toxicity from contaminated hay
Pathogenesis
- compounds become activated in tissues and bind to vital cell components
- results in cellular necrosis and/or inhibition of mitosis
- alkaloid metabolites are hepatotoxic and can affect other epithelia particularly pulmonary and renal
- endothelium can also be affected with vascular damage
- ultimately with chronic exposure death results in chronic hepatic failure
- CNS signs relate to elevated NH3 inducing a hepatic encephalopathy
- in sheep hepatogenous Cu toxicity may result
- decreased Cu excretion in bile
- hepatocyte necrosis leads to Cu being stored in increasing amounts in other hepatocytes
- eventually lysosomal collapse means massive release of Cu into blood that has a direct effect on erythrocyte membranes, resulting in haemolysis
Clinical Signs
sheep - 2 syndromes
(i) hepatic failure (less common)
- illthrift developing into emaciation
- icterus and photosensitisation (rare)
(ii) hepatogenous chronic copper toxicity
- reluctant to move
- jaundice
- anaemia
- Hbaemia, Hburia
- terminal respiratory distress
cattle - weight loss and emaciation
- mild to severe diarrhoea
- rectal prolapse
- occasional icterus and photosensitisation
- CNS signs terminally
- apparent blindness
- circling, aimless wandering
- ataxia
horses - similar signs except that loss of condition may occur suddenly over a week
- terminal CNS signs including a "dummy" syndrome may last only several days
- ventral oedema
Clinical Pathology
- hepatic enzymes, bilirubin
- hepatic biopsy
- Hburia in some sheep
Necropsy
- firm fibrotic livers
- portal hypertension
- ascites
- gall bladder and intestinal oedema
- +/-icterus
- if haemolytic crisis has occurred kidneys may be dark or gunmetal in colour
- histopathology
- hepatic necrosis
- hepatic and renal megalocytosis
Diagnosis
- history
- necropsy
- histopathology
Treatment
Control
- grazing management
- eradication of plants
- biological (insect) control
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