Cregar Laura C, Wiedmeyer Charles E, Ringen Davin R, Evans Tim J, Johnson Gayle C, Kuroki Keiichi
Veterinary Medical Diagnostic Laboratory, University of Missouri, Columbia, MO, USA.
Vet Clin Pathol. 2012 Dec;41(4):502-8. doi: 10.1111/j.1939-165x.2012.00487.x. Epub 2012 Nov 2.
A 1-year-old female Boer goat was presented with a 1-day history of pigmenturia, anorexia, and shivering. Anemia was not present initially, but progressive hemolytic anemia developed subsequently and was characterized by the finding of Heinz bodies in both intact RBCs and in ghost cells and the presence of atypical fusiform RBCs. Plasma biochemical analysis revealed increased activities of aspartate aminotransferase and gamma-glutamyltransferase, hyperbilirubinemia, and azotemia. Histopathologic examination of a liver biopsy revealed necrosis of individual hepatocytes and intracytoplasmic rhodamine-positive granules, consistent with copper. Copper concentration in ante-mortem hepatic tissue was increased, and a diagnosis of copper toxicosis was made. Despite supportive therapy, the goat continued to decline and was euthanized. Necropsy findings included hepatic necrosis and hemoglobinuric nephrosis. Freshly collected specimens of liver and kidney had markedly increased copper concentrations. The mineral composition of the water, grass hay, and goat chow was evaluated, and toxins and significant mineral imbalances were not found. The underlying cause of the hepatic accumulation and subsequent release of copper remains unclear in this goat. Recently, Boer goats have been recognized as being prone to copper toxicosis and may be more susceptible than other breeds; similar to sheep, Boer goats may experience a hemolytic crisis secondary to copper toxicosis.
一只1岁的雌性波尔山羊出现了1天的血红蛋白尿、厌食和颤抖病史。最初不存在贫血,但随后发展为进行性溶血性贫血,其特征是在完整的红细胞和影细胞中均发现海因茨小体,以及存在非典型梭形红细胞。血浆生化分析显示天冬氨酸转氨酶和γ-谷氨酰转移酶活性增加、高胆红素血症和氮质血症。肝活检的组织病理学检查显示单个肝细胞坏死和胞浆内罗丹明阳性颗粒,与铜一致。生前肝组织中的铜浓度升高,诊断为铜中毒。尽管进行了支持性治疗,山羊仍持续衰弱,最终实施安乐死。尸检结果包括肝坏死和血红蛋白尿性肾病。新鲜采集的肝脏和肾脏标本中的铜浓度显著升高。对水、禾本科干草和山羊饲料的矿物质成分进行了评估,未发现毒素和明显的矿物质失衡。这只山羊肝脏中铜蓄积及随后释放的潜在原因仍不清楚。最近,波尔山羊已被认为易患铜中毒,可能比其他品种更易感;与绵羊类似,波尔山羊可能会继发于铜中毒而经历溶血性危机。