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Summary: This original study was performed to investigate the levels of zinc chloride (ZnCl2) in 'herbal black salve' preparations, purportedly containing an active ingredient of bloodroot, sometimes used to treat equine dermal neoplasms. Three samples of different 'bloodroot' preparations were tested. Zinc and other elements were measured by inductively coupled plasma atomic emission spectroscopy (ICP‐AES). The chloride in the samples was partitioned into an aqueous solution and measured by ion chromatography (IC). The studied products contained between 11.6% and 25% ZnCl2. Veterinarians should be aware that 'herbal' or 'black salve' preparations intended for the treatment of equine cutaneous neoplasms may contain significant amounts of zinc chloride (ZnCl2), a caustic, corrosive chemical. Equine practitioners should also be aware that various international government agencies have warned against the use of black salve products in human cancer therapy. [ABSTRACT FROM AUTHOR]

Cobalt has been used by human athletes due to its purported performance-enhancing effects. It has been suggested that cobalt administration results in enhanced erythropoiesis, secondary to increased circulating erythropoietin (EPO) concentrations leading to improvements in athletic performance. Anecdotal reports of illicit administration of cobalt to horses for its suspected performance enhancing effects have led us to investigate the pharmacokinetics and pharmacodynamic effects of this compound when administered in horses, so as to better regulate its use. In the current study, 18 horses were administered a single intravenous dose of cobalt chloride or cobalt gluconate and serum and urine samples collected for up to 10 days post administration. Cobalt concentrations were measured using inductively coupled plasma mass spectrometry (ICP-MS) and pharmacokinetic parameters determined. Additional blood samples were collected for measurement of equine EPO concentrations as well as to assess any effects on red blood cell parameters. Horses were observed for adverse effects and heart rate monitored for the first 4 h post administration. Cobalt was characterized by a large volume of distribution (0.939 L/kg) and a prolonged gamma half-life (156.4 h). Cobalt serum concentrations were still above baseline values at 10 days post administration. A single administration of cobalt had no effect on EPO concentrations, red blood cell parameters or heart rate in any of the horses studied and no adverse effects were noted. Based on the prolonged gamma half-life and prolonged residence time, regulators should be able to detect administration of a single dose of cobalt to horses. Copyright © 2014 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Veterinary toxicology is a relatively small veterinary medicine discipline that has an important role to play in protecting animal, human, and environmental health (One Health). One Health is an integrated, unifying approach that aims to sustainably balance and optimize the health of people, animals, and ecosystems. The One Health concept is particularly applicable to toxicology and it is appropriate to consider the idea of One Toxicology. In California, the Toxicology Section of the California Animal Health and Food Safety Laboratory System (CAHFS) plays an important role in identifying and responding to toxicologic issues related to One Health. In 2007, the Section was at the forefront of investigating an epidemic of acute renal failure in dogs and cats in the United States that was ultimately determined to be due to contamination of pet foods with melamine and related compounds. The Section was a leader in first recognizing that back-yard chickens (BYC) were at risk for lead exposure. This was important for mitigating lead exposure of children through consumption of lead-contaminated eggs. The Section frequently diagnoses 2nd generation anticoagulant rodenticide (SGAR) exposure and intoxication of many non-target wildlife species. Recent work from European researchers raised the possibility of formulating SGAR baits that are less persistent in the body by altering the amounts of AR cis- and trans-diastereomers in bait formulations thus potentially decreasing non-target species intoxications. We have investigated this possibility in several non-target species not previously assessed including coyotes, grey foxes, and cougars. Our results suggest that the effectives of changing bait formulations is variable and dependent on the SGAR and wildlife species of interest. These examples illustrate how routine diagnostic testing can lead to the recognition of broader issues related to One Health and One Toxicology and perhaps point the way toward effective mitigation, prevention, and solution strategies. [ABSTRACT FROM AUTHOR]

Amanitin is a toxic cyclopeptide present in several species of poisonous mushrooms. Amanitin toxicosis was diagnosed in 2 cats from separate premises. Both cats initially had lethargy and vomiting, and they rapidly developed depression and neurological signs over 24–48 hours. Marked elevation of alanine aminotransferase was the primary finding, with subsequent serum chemistry values compatible with hepatic and renal failure. Histopathological findings consisted of submassive to massive acute hepatic necrosis, renal proximal tubular epithelial necrosis, and foci of necrosis and inflammation in the gastrointestinal tract. Amanitin exposure was confirmed postmortem by detection of α-amanitin in the kidney by liquid chromatography–mass spectrometry. A similar clinical course and pathological changes are reported in human and canine amanitin intoxication; however, gastrointestinal lesions are not typically described. [ABSTRACT FROM PUBLISHER]

The article discusses a research study on equine bone fragility syndrome associated with pulmonary silicosis. The postmortem study grossly and histologically evaluated bones of 3 unaffected horses and 9 affected horses as to intracytoplasmic crystals, silicon levels and lung tissue through radiographs. Findings showed osteoporosis in all 9 affected horses and subclinical or clinical pulmonary disease related to silicosis or pneumocosis and radiographs showed osteopenia while histologic findings include osteoporosis characterized by osteopenia.

The article examines the incidence of melamine/cyanuric acid-induced renal failure in dogs in South Korea between 2003 and 2004 due to pet food ingredients. It states that 14 dogs were presented to the Veterinary Medical Teaching Hospital of Konkuk University with renal failure. Based on the study, the researchers found out that the kidneys were greenish color with greenish uroliths in the renal pelvis. Meanwhile, histological findings revealed the presence of crystals with pinwheel radiating striations in distal tubular segments.

We investigated alterations in serum and tissue iron profiles that were associated with an N-ethyl- N-nitrosourea-induced mutation in the fitness 1 locus in chromosome 7 in mice. Mice hemizygous for the fitness 1 mutation [ c fitness 1 4226SB/Df(c Mod2 shl)26DVT] had a microcytic, hypochromic anaemia which was associated with a lower concentration of iron in the serum compared to age-matched, control mice [ c ch+/cch+]. The hemizygous mutants had a greater total iron binding capacity and an increased unsaturated iron binding capacity compared to controls. The percentage transferrin saturation was significantly decreased in the hemizygous mutant mice compared to control mice. The concentration of iron within several body organs was determined and hemizygous mutant mice had a greater concentration of iron in the liver compared to controls. In contrast, the mutants had a lower concentration of iron within the spleen, kidneys and heart compared to control mice. Microscopic analysis of bone marrow smears indicated less iron in the smears from the hemizygous mutants. From these data, it was concluded that the fitness1 4226SB mutation in mice causes alterations in the serum iron profile that resemble iron deficiency. The alterations in tissue iron concentrations indicate an abnormal distribution or mobilisation of iron between organ systems. The exact mechanism(s) by which the fitness1 4226SB mutation mediates these abnormalities in iron distribution remains to be determined. [ABSTRACT FROM AUTHOR]

Monofluoroacetate is a highly lethal toxin that causes death by inhibiting cellular adenosine triphosphate (ATP) production. The heart and brain are the primary target organs. Acute death is attributed to cardiac fibrillation and/or convulsions. Although it occurs naturally in some plants, a major source of animal intoxication is access to sodium monofluoroacetate (NaMFA) pesticide, which continues to be a concern in the USA and around the world despite restricted use in some countries including the USA. There are also concerns about misuse of this pesticide for malicious poisoning. Currently, a tissue-based diagnostic method for NaMFA intoxication in animals is lacking. There is a critical need by the veterinary diagnostic community for a simple, sensitive and reliable tissue-based diagnostic test to confirm NaMFA poisoning in animals. We have developed and extensively evaluated a sensitive novel liquid chromatography combined with tandem mass spectrometry method suitable for this purpose. The limits of detection and limits of quantitation are 1.7 and 5.0 ng/g, respectively. The accuracy and precision met or exceeded expectations. The method performance was verified using the incurred kidney obtained from animal diagnostic cases. This novel kidney-based method is now available for clinical use and can help with diagnostic purposes, including detecting potential issues related to animal foods., (© The Author(s) 2024. Published by Oxford University Press. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site–for further information please contact journals.permissions@oup.com.)

This horse presented with subcutaneous mercury panniculitis confirmed by toxicological analysis. Based upon the nature of the lesions the mercury species was elemental mercury (Hg 0 ). Despite no history of intentional mercury administration, subcutaneous injection is the presumed most likely route of exposure to Hg 0 ., (© 2023 ESVD and ACVD.)

Blackleg is an infectious disease caused by Clostridium chauvoei . Cardiac blackleg has been reported in ruminants as an uncommon presentation of the disease; its pathogenesis is not understood completely. We include here a literature review of cardiac blackleg and a description of 2 cases in 12-15-mo-old feedlot steers in Argentina. Fourteen of 1,190 steers died suddenly over a period of 10 d. Postmortem examinations were performed on 5 of these animals. Grossly, severe, diffuse, fibrinous pericarditis and pleuritis, multifocal necrohemorrhagic myocarditis, diffuse pulmonary congestion, mild splenomegaly, and moderate congestion of meningeal vessels were observed. No significant gross lesions were observed in the skeletal muscles of any animal. Histology was performed on 2 of the steers. The main microscopic features were necrotizing myocarditis with myriad intralesional gram-positive rods with subterminal spores plus fibrinosuppurative pericarditis and pleuritis. C. chauvoei was detected by immunohistochemistry and PCR in the myocardium of both animals. These findings confirm a diagnosis of cardiac blackleg in these 2 steers and presumptively in the other affected animals.

Background: Human grayanotoxin poisoning is distinctly uncommon in North America, as the predominant source of human exposure is honey made by bees pollinating rhododendron species in the Mediterranean. We present a case of confirmed grayanotoxin poisoning from honey imported from Turkey., Case Report: A 61-year-old man developed nausea, lightheadedness, and lost consciousness. Onset was 30 min after the ingestion of honey that was brought to the United States from Turkey. Emergency medical services found him bradycardic, hypotensive, and unresponsive. He was treated with atropine, saline, and oxygen, at which point his heart rate and blood pressure improved, and he regained consciousness. A similar episode several days earlier was followed by a brief unrevealing hospitalization. He was again hospitalized, and had a normal echocardiogram, telemetric monitoring, and complete laboratory studies. Grayanotoxins I and III were subsequently identified in the patient's blood, urine, and honey. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Grayanotoxins are diterpenoids found in rhododendron species, whose clinical effects span multiple organ systems including gastrointestinal, cardiac, and neurologic. Treatment is largely supportive, and a good response to atropine and intravenous fluids has been described. Laboratory confirmation of grayanotoxins is not available in a short enough turnaround time to be clinically useful during immediate management, but confirmatory testing may obviate further unnecessary evaluation. Grayanotoxins are likely to remain a rare source of poisoning in North America, but recurrent bradycardia without alternative etiology should prompt a thorough exposure history, which may reveal, as in this case, a treatable toxicologic etiology., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

Case Description: In Latvia in 2014, acquired idiopathic megaesophagus (AIME) was observed in increased numbers of dogs that consumed varieties of 1 brand of dog food. Within 2 years, 253 dogs were affected. In Australia in November 2017, 6 working dogs that consumed 1 diet of another brand of dog food developed AIME. In total, 145 Australian dogs were affected., Clinical Findings: AIME was diagnosed predominantly in large-breed male dogs (> 25 kg [55 lb]). Regurgitation, weight loss, and occasionally signs consistent with aspiration pneumonia (coughing, dyspnea, or fever) were noted. Most Latvian dogs had mild to severe peripheral polyneuropathies as evidenced by laryngeal paralysis, dysphonia, weakness, and histopathologic findings consistent with distal axonopathy. In Australian dogs, peripheral polyneuropathies were not identified, and histopathologic findings suggested that the innervation of the esophagus and pharynx was disrupted locally, although limited samples were available., Treatment and Outcome: Investigations in both countries included clinical, epidemiological, neuropathologic, and case-control studies. Strong associations between the dog foods and the presence of AIME were confirmed; however, toxicological analyses did not identify a root cause. In Latvia, the implicated dietary ingredients and formulations were unknown, whereas in Australia, extensive investigations were conducted into the food, its ingredients, the supply chain, and the manufacturing facilities, but a cause was not identified., Clinical Relevance: A panel of international multidisciplinary experts concluded that the cause of AIME in both outbreaks was likely multifactorial, with the possibility of individualized sensitivities. Without a sentinel group, the outbreak in Australia may not have been recognized for months to years, as happened in Latvia. A better surveillance system for early identification of pet illnesses, including those associated with pet foods, is needed.

Objective: To describe the clinical course and novel biochemical findings in 3 dogs with amitraz toxicosis., Case Series Summary: Three Labrador Retrievers developed acute onset obtundation to stupor after being in a rice field. On admittance to the hospital, they all displayed bradycardia, hyperglycemia, hyperlactatemia, respiratory acidosis, and metabolic alkalosis. All clinical signs resolved in 18-48 hours with supportive care. One dog represented with similar clinical signs and biochemical abnormalities 3 days after discharge following spending time in a different rice field owned by the same owner. Toxicological analysis of serum from all 3 dogs and vomitus from 1 dog returned positive for amitraz and one of its metabolites., New or Unique Information Provided: This is the first case series of dogs with confirmed amitraz toxicosis following an environmental exposure. Novel biochemical findings of hyperlactatemia, respiratory acidosis, and metabolic alkalosis were documented in all 3 dogs. Clinicians should be concerned for amitraz toxicosis when presented with an animal with the constellation of signs including decreased mental status, bradycardia, and hyperglycemia, particularly if relevant acid-base abnormalities are also detected., (© Veterinary Emergency and Critical Care Society 2021.)

Raptors, including eagles, are geographically widespread and sit atop the food chain, thereby serving an important role in maintaining ecosystem balance. After facing population declines associated with exposure to organochlorine insecticides such as dichlorodiphenyltrichloroethane (DDT), bald eagles (Haliaeetus leucocephalus) have recovered from the brink of extinction. However, both bald and golden eagles (Aquila chrysaetos) are exposed to a variety of other toxic compounds in the environment that could have population impacts. Few studies have focused on anticoagulant rodenticide (AR) exposure in eagles. Therefore, the purpose of this study was to determine the types of ARs that eagles are exposed to in the USA and better define the extent of toxicosis (i.e., fatal illness due to compound exposure). Diagnostic case records from bald and golden eagles submitted to the Southeastern Cooperative Wildlife Disease Study (University of Georgia) 2014 through 2018 were reviewed. Overall, 303 eagles were examined, and the livers from 116 bald eagles and 17 golden eagles were tested for ARs. The percentage of AR exposure (i.e., detectable levels but not associated with mortality) in eagles was high; ARs were detected in 109 (82%) eagles, including 96 (83%) bald eagles and 13 (77%) golden eagles. Anticoagulant rodenticide toxicosis was determined to be the cause of mortality in 12 (4%) of the 303 eagles examined, including 11 bald eagles and 1 golden eagle. Six different AR compounds were detected in these eagles, with brodifacoum and bromadiolone most frequently detected (81% and 25% of eagles tested, respectively). These results suggest that some ARs, most notably brodifacoum, are widespread in the environment and are commonly consumed by eagles. This highlights the need for research to understand the pathways of AR exposure in eagles, which may help inform policy and regulatory actions to mitigate AR exposure risk., Competing Interests: The authors have declared that no competing interests exist.

Northwest Atlantic leatherback sea turtles (Dermochelys coriacea) are endangered and low hatch success limits potential for population recovery. We examined essential and nonessential metal concentrations in 43 eggs from nests on St. Kitts to determine if there was a relationship with hatch success. Whole homogenized embryos and undeveloped eggs contained detectable concentrations of arsenic, barium, copper, iron, selenium, vanadium, and zinc, but not beryllium, cadmium, chromium, cobalt, lead, mercury, molybdenum, and thallium. Of detected metals, only vanadium concentrations negatively correlated with hatch success (P = 0.01). Manganese and vanadium were associated with pneumonia occurring in the nest, and arsenic with renal mineralization. This study adds to the knowledge regarding baseline values for environmental contaminants in sea turtles, supporting the trend that leatherback eggs have relatively low concentrations of toxic metals, lacking a strong relationship with hatch success, and normally contain the essential elements copper, iron, selenium, and zinc., (Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.)

A female spayed dachshund/mixed-breed dog was evaluated following ingestion of lamotrigine tablets with subsequent rapid onset of vomiting, diarrhea, and generalized tremoring. On initial examination, the dog was moderately obtunded and nonambulatory with intermittent myoclonus and hyperesthesia. Electrocardiogram revealed sinus tachycardia with prolongation of the QT interval. Intravenous lipid emulsion (ILE) infusion was initiated, with reduction in tremoring and improved patient mentation being noted after ∼20 min of therapy. An elevated cardiac troponin I value measured at 1.02 ng/mL the day after presentation. Serum toxicological assay revealed marked reduction in serum lamotrigine levels following ILE and continued reduction during hospitalization. The dog's clinical signs resolved, corrected QT interval returned to normal, and the patient was discharged 38 hr after presentation. Individual cases of lamotrigine toxicosis have not been fully reported in veterinary literature. This case report documents the rapid onset of clinical signs including neurologic dysfunction, cardiac arrhythmias, and transient corrected QT prolongation. Serial serum concentrations of lamotrigine showed a rapid reduction with ILE therapy and corresponded with clinical recovery, suggesting efficacy of ILE treatment in this case.

Waste milk feeding practices have been implicated as a potential source for disseminating antimicrobial resistant bacteria among animals and the environment. Two interventions that have shown potential for degrading antimicrobial drugs in milk are heat and pH treatment. The aim of this study was to evaluate the effect of heat and pH treatments on the degradation of ceftiofur and ceftiofur free acid equivalents in milk at concentrations previously found in waste milk on dairy farms by spiking saleable pasteurized whole milk with ceftiofur sodium. Three heat treatments of ceftiofur sodium spiked milk were evaluated for their ability to degrade ceftiofur: 63°C for 30 min (LTLT), 72°C for 15 s (HTST) and 92°C for 20 min (HTLT). Two pH treatments of ceftiofur sodium spiked milk were evaluated: pH 4.0 (LpH) and pH 10 (HpH). Control samples spiked with ceftiofur sodium were kept at room temperature and samples collected at corresponding times for heat and pH treatments. Four treatment replicates were performed for each treatment group. Ceftiofur was quantified in milk samples using liquid chromatography mass spectrometry (LC-MS/MS) and ceftiofur free acid equivalents (CFAE) were measured using high-performance liquid chromatography (HPLC). HTLT resulted in a degradation of 35.24% of the initial concentration of ceftiofur. Ceftiofur degradation did not differ between control and the remaining two heat treatment groups (LTLT and HTST). HpH resulted in degradation of the 95.72 and 96.28% of the initial concentration of ceftiofur and CFAE, respectively. No significant changes in degradation of ceftiofur or CFAE were observed for control or LpH treatments. In conclusion, our study results were that alkalinizing milk to pH 10 and heating milk to 92°C for 20 min degraded ceftiofur and CFAE in spiked simulated waste milk demonstrated promising potential as treatment options for degrading ceftiofur and CFAE in waste milk, and further research is needed to evaluate the viability for implementation of these treatments in dairy farms., (Copyright © 2020 Garzon, Pandey, Tell, Aly, Poppenga and Pereira.)

Introduction: Monensin is a veterinary antibiotic with a narrow therapeutic window that has led to lethal intoxication in many animal species. Only two prior cases of human toxicity have been reported, both fatal. We present the first case of survival from severe toxicity following monensin ingestion., Case: A 58-year-old man presented with 8 days of vomiting and abdominal pain. Due to delusions of central nervous system toxoplasmosis, he ingested 300 mg of monensin. His laboratory studies revealed severe rhabdomyolysis without renal dysfunction. Total creatine kinase (CK) peaked above 100,000 U/L. His CK decreased to 5192 U/L after 15 days of aggressive hydration and sodium bicarbonate therapy. His ejection fraction on echocardiogram decreased from 69 to 56%., Discussion: Reports on acute clinical effects after human exposure to monensin are limited. Ingestion is known to cause skeletal and cardiac muscle rhabdomyolysis and necrosis. Animal studies demonstrate that monensin's toxicity is due to increases in intracellular sodium concentrations and Ca 2+ release. To date, no effective antidotal treatment has been described., Conclusions: Monensin is a veterinary medication not approved for human use by the US Food and Drug Administration. Though poorly studied in humans, this case demonstrates the severe harm that may occur following ingestion.