Schlerka Gerd, Tataruch Frieda, Högler Sandra, Url Angelika, Krametter Reinhild, Kössler Dieter, Schmidt Peter
II. Medizinische Universitätsklinik für Klauentiere, Veterinärmedizinischen Universität Wien.
Berl Munch Tierarztl Wochenschr. 2004 Jan-Feb;117(1-2):52-6.
In a dairy herd of 21 cows which were on pasture during the day at the end of May 2002, four eight years old cows were suddenly inappetent and showed severe diarrhoea consisting of black discolorate feces. A few days after the onset of the disease, three affected cows exhibited neurological disorders. These cows were admitted to the IInd Medical Clinic of the University for Veterinary Medicine in Vienna. Following clinical signs were observed: circulatory weakness, anorexia, atony of the rumen, diarrhoea and in accordance with acute lead poisoning typical signs of the central nervous system. One cow died and the other two animals were euthanized. Results of blood testing were anaemia, basophil spotting of erythrocytes, increase of liver enzymes and CK, hypocalcaemia, decrease of potassium and phosphate. The cerebrospinal fluid of two cows showed increased CK-, LDH- and AST-values. The lead contents of whole blood samples were between 0.486 and 0.928 mg/kg, of liver samples 13.3 to 114.4 mg/kg, of kidney samples 172.2 to 448 mg/kg and of rumen content 59 mg/kg fresh matter. At necropsy, enteritis, liver fluke disease and severe interstitial and alveolar pulmonary emphysema were found. Pathohistologically typical ischaemic necrosis of neurons predominantly at the tips of the gyri, disseminated petechial hemorrhages and moderate diffuse neovascularisation, but no acid-fast intranucleolar inclusion bodies in the renal tubules were observed. As causative agent of the acute lead poisoning a residue on combustion, taken up by the cows on the pasture, was confirmed. The ash residue was formed by combustion of three tires which contained 450 g heavy weights of 96.5% lead for wheel balance. The lead content of the ash residue was between 2.9 and 28 g/kg dry matter.
2002年5月底,在一个白天放牧的拥有21头奶牛的奶牛群中,4头8岁的奶牛突然食欲不振,并出现严重腹泻,粪便呈黑色。发病几天后,3头患病奶牛出现神经紊乱症状。这些奶牛被送往维也纳兽医大学第二临床医学院。观察到以下临床症状:循环系统衰弱、厌食、瘤胃弛缓、腹泻以及符合急性铅中毒的中枢神经系统典型症状。1头奶牛死亡,另外2头动物被实施安乐死。血液检测结果显示贫血、红细胞嗜碱性点彩、肝酶和肌酸激酶升高、低钙血症、钾和磷酸盐降低。2头奶牛的脑脊液显示肌酸激酶、乳酸脱氢酶和谷草转氨酶值升高。全血样本的铅含量在0.486至0.928毫克/千克之间,肝脏样本为13.3至114.4毫克/千克,肾脏样本为172.2至448毫克/千克,瘤胃内容物为59毫克/千克鲜物质。尸检时,发现肠炎、肝吸虫病和严重的间质及肺泡性肺气肿。病理组织学检查发现,主要在脑回尖端有典型的神经元缺血性坏死、散在的瘀点出血和中度弥漫性新生血管形成,但在肾小管中未观察到耐酸核仁内包涵体。经证实,急性铅中毒的病原体是奶牛在牧场上摄取的燃烧残留物。这些灰烬残留物是由3个轮胎燃烧形成的,这些轮胎含有450克用于车轮平衡的96.5%铅的重物。灰烬残留物的铅含量在2.9至28克/千克干物质之间。