Toxicities Flashcards
Acetaminophen toxicity in cats
Results in Heinz body anemia, cats can die from oxidative damage and methemoglobin within 1-2 days of ingestion. Immediate gastrointestinal decontamination is needed if ingestion was within 2-3 hours. Treat with N-acetylcysteine, SAMe, vitamin C, and aggressive fluid therapy
Alfalfa
Nitrate Accumulating Plant
Aflatoxin
produced by certain fungi that are found on agricultural crops such as maize (corn), peanuts, cottonseed, and tree nuts
Turkeys are extremely susceptible to aflatoxicosis. Recent studies have revealed that this is due to the efficient cytochrome P450 mediated metabolism of aflatoxin B1 in the liver of turkeys and deficient glutathione-S-transferase mediated detoxification
Amsinckia intermedia
Fiddleneck, Fireweed, tarweed: Secondary photosensitization due to liver failure - contains pyrrolizidine alkaloids. Cause megalocytosis, biliary duct hyperplasia, and fibrosis. As a result of liver damage, the liver will be unable to clear normal chlorophyll breakdown products such as phylloerythrin, which causes photosensitization secondary to liver failure.
Anaranthus (pig weed)
nitrate
Astragalus
“loco weed”
Avacado
toxic to parrots
A toxin, know as persin, is a phytochemical found in the Guatemalan type of avocado which causes myocardial necrosis in the budgerigar, parrot and possibly other pet bird species.
Azalea - Rhododendron
Cardiotoxic plant Contains andromedotoxins, which bind membrane sodium channels, leading to excitation and movement of calcium intracellularly for an effect similar to digitalis
Black Walnut - Juglans nigra - Toxicity - Equine
- horses bedded on black walnut shaving can cause laminitis within 24 hours of exposure - signs: reluctance to move, increased digital pulses and shifting-weight lameness - exact toxin yet to be identified - treatment: remove source and decontaminate GI tract with mineral oil or activated charcoal, wash legs and feet, and treat for laminitis
Blister Beetle Toxicity - Equine
- exposed to dead blster beetles entrapped in alfalfa hay during harvesting - contain cantharidin - highly irritant substance - causes severe irritation to tissues it contacts (GIT and kidney) - signs: variable, lethargy, anorexia, polyuria, colic, tachycardia, diarrhoea, sweating - diagnosis: clinical signs plus beetles in hay, cantharidin in urine and stomach contents - treatment: supportive care
blue-green algae - Microcystis sp
Secondary photosensitization due to liver failure
Bracken fern - Pteridium aquilinum
Neurotoxic glycoside plant Poisons cattle, sheep, pigs and horses Contains thiaminase which cleaves vitamin B1, and also contains up to 1% ptaquiloside which alkylates DNA leading to carcinogenicity and bone marrow suppression (only in ruminants) Thiamine deficiency leads to polioencephalomalacia Clinical signs in all large animals - incoordination, standing with legs apart - depression - muscle tremors, ataxia - blindness, retinal degeneration Clinical signs of ptaquiloside in ruminants - bone marrow destruction, hemorrhage - anemia, elevated pyruvic acid - tumors in bladder and other organs Treatment: injectable thiamine, no Rx for ptaquiloside
Clinical sign in horse: opisthotonos
Brodifacoum
highly lethal 4-hydroxycoumarin vitamin K antagonist rodenticide - in dogs supplement Vit K for 6 weeks post ingestion
Cat recently ingested: gastric lavage, activated charcoal, vitamin K for 30 days. Clinical signs occur 3-5 days after ingestions and hemorrhaging results. PT should be checked 48 hours after the last dose of Vitamin K.
Cantharidin (blister beetle)
Results in endotoxic shock and renal failure. Horses affected may be found dead, colicing, or in cardiovascular shock. Vesicles may form in the mouth and tongue, and if the animal lives long enough, you can expect to see watery feces. Renal tubular damage will be profound, and you will probably observe cardiac arrhythmias.
Cardiotoxic Plants
Oleander, Foxglove, Lily-of-the-Valley, Yew, Azalea - signs: salivation, nausea, vomiting (risk of aspiration), hematochezia, weakness, bradycardia, hypotension, A/V block, collapse, and acute death - treatment: in small animals - emesis, activated charcoal, supportive care (IV fluids, supplemental oxygen), atropine for severe bradycardia, isoproterenol/procainamide/quinidine for A/V block
Castor bean - Ricinus communis
Contains ricin - a highly toxic glycoprotein Clinical signs (may have lag period before onset): - anorexia, vomiting, diarrhea - weakness, thirst - muscle spasm, uremia, death - sweating, ataxia (horses) - extensive organ edema and damage
Chocolate toxicity
Methylxanthines (specifically theobromine and caffeine) can cause CNS excitation, tachycardia, and vasoconstriction. Signs include vomiting, diarrhea, hyperactivity, polyuria, polydipsia, lethargy, tachycardia, cardiac arrhythmias, seizures, and death.
Chokecherry - Prunus sp.
Cyanide/Cyanogen Containing Plant
Cholecalciferol-based rodenticide
Cholecalciferol gets converted to activated vitamin D to cause increased bone resorption of calcium and gut absorption of calcium leading to a sometimes fatal hypercalcemia (-> organ mineralization). Nutirional secondary hyperparathyroidism results when an anima’s diet contains too much phophorus resulting in cedreased serum calcium.
Copper Toxicity
Sheep highly susceptible, goats and cattle less susceptible.
Causes acute hemolytic crisis, most common signs are acute death, icterus, depression, hemoglobinuria, increased respiratory rate, and weakness.
Pathology often shows dark, hemoglobin-filled kidneys (“gun metal blue”)
Cottonseed - Gossypium sp.
May contain gossypol which is cardiotoxic, particularly to very young animals (cattle, sheep and pigs) Clinical signs: - sudden death due to heart failure may occur - anorexia, red urine, thin pot-bellied appearance - poor performance in adult animals
Crotalaria sp
Secondary photosensitization due to liver failure Pyrrolizidine Alkaloid Toxicity
Cyanide/Cyanogen Containing Plants
Chokecherry, Vetch, Hydrangea, Johnson grass - hydrogen cyanide absorbed from GIT and inhibits mitochondrial cytochrome oxidase. oxyhemoglobin cannot release oxygen for electron transport in cytochrome system leading to cellular hypoxia - signs: excitement, muscle tremors, dyspnea, salivation, urination, defecation, sudden death, bright red blood and mucous membranes - treatment: methylene blue, sodium nitrite, and sodium thiosulfate
Cynodon
One of the causes of grass staggers
Dumbeane - Dieffenbachia
Clinical signs: - ataxia, hypermetria - clicking of the dewclaws (“cracker heels”), conscious proprioceptive deficits - emaciation - emphysema (sheep) - abortions, teratogenesis (contracted tendon)
Erodium
Geranium - Pelargonium species and are toxic to both cats and dogs. Geraniums contain geraniol and linalool, which are both poisonoussubstances. Animals that have consumed geraniumstypically exhibit symptoms such as vomiting, lethargy, dermatitis and loss of appetite
Ethylene glycol
4-methylpyrazole antidote
Causes hypocalcemia due to chelation of calcium by metabolites of ethylene glycol such as oxalate.
Fescue Toxicosis - Equine
- not a problem on its own, but most infected with Neotyphodium coenophialum - fungus produces numerous toxins including ergopeptine alkaloids which act as dopamine agonist (blocks prolactin release) - clinical signs: prolonged gestation, placental thickening and agalactia - diagnosis empiric - treatment: remove infected grass/hay, administer dopamine antagonist (Donoeridone)
Fleet enemas
high in phosphorus and lead to a decrease in serum calcium due to the law of mass action. Hypocalcemia can cause weakness, lead to shock, and cause muscle tremors or seizures. Treatment is to correct the electrolyte disturbance and correct the dehydration. IV fluid therapy and calcium gluconate are the initial treatments, and many times phosphorus binders are helpful to more quickly decrease the serum phophorus.
Foxglove - Digitalis purpurea
Cardiotoxic plant Contains cardiac glycosides, which increase contractility and decrease heart rate via vagal stimulation, prolonging diastole
Gossypol toxicity
Found in cotton seed in varying amounts. Cardiotoxic and can kill calves less than 4 months of age. In adults, if fed at high levels, it usually causes sterility in bulls and decreased conception in cows.
Groundsel - Senecio sp
Secondary photosensitization due to liver failure Pyrrolizidine Alkaloid Toxicity
Heliotropium sp.
Pyrrolizidine Alkaloid Toxicity
Hydrangea
Cyanide/Cyanogen Containing Plant
Ionophore Toxicity - Equine
Lasalocid, monensin, salinomycin - antibiotics with ability to bind and transport ions across biological membranes - used as growth promotants and coccidiostats in ruminants but are toxic to horses - cytotoxicity due to disruption of mitochondria -> loss of aerobic energy production (muscle and neurologic tissue) Signs: - acute: weakness, ataxia, anorexia, tremors, tachycardia, hypotension, dyspnea, recumbancy, death - chronic: damage to heart, poor performance, exercise intolerance, arrythmia
Jimsonweed - Datura stramonium - Devil’s snare
Dangerous levels of tropane alkaloids, hyoscyamine, and scopolamine Deliriant and anticholinergic Produces delirium, hyperthermia, tachycardia, bizarre behavior, and severe mydriasis which results in painful photophobia that can last for several days.
Treatment for horse post ingestion: Physostigmine (a parasympathomimetic), activated charcoal, laxatives, diazepam to control convulsions
Johnson Grass (Sorghum)
Cyanide/Cyanogen Containing Plant Nitrate Accumulating Plant
Larkspur - Delphinium
Neurotoxic Plant Contains polycyclic diterpene alkaloids - neuromuscular blocker, cholinergic and nicotinic antagonist Cattle are most susceptible Clinical signs: - bloat - excitability - muscletremors, stiffness, paresis, seizures - arrhythmias - death from respiratory paraylsis Treatment: - physostigmine may reverse neuromuscular blockade - relieve bloat if present - decontaminate and supportive care
Lead poisoning
treated with Ca-EDTA to chelate and excrete lead, Succimer can also be given orally. D-penicillamine has also been used to chelate lead, copper, iron and mercury.
Clinical signs are primarily gastrointestinal and neurologic. Lead blood levels can be measured but do not necessarily correlate with severity of clinical signs. Toxic blood levels are greater than 0.4 ppm. Blood work can show an elevated number of nucleated RBCs without anemia. Basophilic stippling is a classic finding with lead toxicity but not specific.
Leukoencephalomalacia - Equine
Moldy corn toxicity - ingesting moldy corn with mycotoxin fumosisin (metabolite) can develop neurologic deficits and (less common) liver damage - sings: incoordination, anorexia and lethargy to blindness, head pressing, hyperexcitability, profuse sweating and delirium - toxin causes liquefactive necrosis and degeneration of cerebral hemispheres and other portions of the brain - diagnosis based on history, clinical sings and postmortem - treatment is supportive care
Lidocaine toxicity
muscle tremors & seizures
Lily-of-the-Valley - Convallaria majalis
Cardiotoxic plant Contains >20 cardia glycosides, has a digitalis-like action