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牛奶喂养的犊牛乙二醇中毒。

Ethylene glycol toxicosis in milk-fed dairy calves.

机构信息

Department of Veterinary Clinical Sciences, University of Copenhagen, 1870, Frederiksberg C, Denmark.

Kvægdyrlægerne Midt, Klochsvej 2B, 7441, Bording, Denmark.

出版信息

Acta Vet Scand. 2022 Mar 24;64(1):7. doi: 10.1186/s13028-022-00626-1.

DOI:10.1186/s13028-022-00626-1
PMID:35331297
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8944023/
Abstract

BACKGROUND

Ethylene glycol (EG) (antifreeze) toxicosis has mostly been reported in dogs and cats, while reports on EG toxicosis in cattle are sparse. We report EG toxicosis in 25 milk-fed calves associated with a leak in the cooling pipes in a milk taxi. The milk taxi was connected to a geothermal heating system in which EG was used as antifreeze.

CASE PRESENTATION

Although the assistant responsible for feeding milk to the calves observed a few blue-colored droplets of liquid on the surface of the milk in the milk taxi and suspected EG contamination, the milk was fed to the calves. Within hours, the calves became depressed and some died within the next 2 days. Necropsy and histopathology revealed widespread severe acute renal tubular necrosis with numerous birefringent crystals in the tubular lumen. Biochemical analysis of serum showed severe damage to the kidneys (marked azotemia) and hypochloremia, hyponatremia and hyperkalemia; findings consisting with metabolic acidosis. After feeding the calves, the assistant inspected the milk taxi and found a leaking cooling pipe.

CONCLUSIONS

The suspected EG toxicosis was confirmed by the observation of renal tubular necrosis, numerous intratubular crystals, and metabolic acidosis. EG toxicosis due to leaking pipes connected to a geothermal heating system has not been reported previously. Alternative antifreeze products that are less toxic than EG are recommended for use if there is a risk of contamination of human and animal foodstuffs in case of a leak in the system.

摘要

背景

乙二醇(EG)(防冻剂)中毒主要发生在犬和猫中,而关于牛的 EG 中毒报告则很少见。我们报告了 25 头牛奶喂养的犊牛与牛奶车冷却管泄漏有关的 EG 中毒。牛奶车与地源热泵加热系统相连,EG 被用作防冻剂。

病例介绍

尽管负责给犊牛喂牛奶的助手观察到牛奶车表面有几滴蓝色液体,怀疑 EG 污染,但仍将牛奶喂给了犊牛。几小时内,犊牛变得抑郁,一些在接下来的 2 天内死亡。尸检和组织病理学显示广泛的严重急性肾小管坏死,管腔中有许多双折射晶体。血清生化分析显示肾脏严重受损(明显氮血症)、低氯血症、低钠血症和高钾血症;这些发现与代谢性酸中毒一致。给犊牛喂食后,助手检查了牛奶车,发现冷却管泄漏。

结论

通过观察肾小管坏死、大量管腔内晶体和代谢性酸中毒,证实了疑似 EG 中毒。由于与地源热泵加热系统相连的泄漏管道导致的 EG 中毒以前没有报道过。如果系统发生泄漏,有污染人类和动物食品的风险,建议使用比 EG 毒性更小的替代防冻产品。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1476/8944023/6619fbf9f0a6/13028_2022_626_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1476/8944023/3bb7b6577525/13028_2022_626_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1476/8944023/526835619c0e/13028_2022_626_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1476/8944023/6619fbf9f0a6/13028_2022_626_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1476/8944023/3bb7b6577525/13028_2022_626_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1476/8944023/526835619c0e/13028_2022_626_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1476/8944023/6619fbf9f0a6/13028_2022_626_Fig3_HTML.jpg

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本文引用的文献

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Ethylene glycol poisoning in sheep.绵羊乙二醇中毒
Vet Rec. 2015 May 16;176(20):515-8. doi: 10.1136/vr.h2310.
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Methanol and ethylene glycol intoxication.甲醇和乙二醇中毒。
Crit Care Clin. 2012 Oct;28(4):661-711. doi: 10.1016/j.ccc.2012.07.002.
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Can Vet J. 2008 Oct;49(10):1018-20.
4
Hematology and serum biochemistry of Holstein dairy calves: age related changes and comparison with blood composition in adults.荷斯坦奶牛犊牛的血液学和血清生物化学:与年龄相关的变化以及与成年牛血液成分的比较。
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Ethylene glycol poisoning.乙二醇中毒
Forensic Sci Int. 2005 Dec 20;155(2-3):179-84. doi: 10.1016/j.forsciint.2004.11.012. Epub 2005 Jan 21.
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Ethylene glycol toxicosis in chickens.鸡的乙二醇中毒
Vet Hum Toxicol. 2003 Feb;45(1):36-7.
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Cholelithiasis and cholecystitis in a dairy cow.一头奶牛的胆结石与胆囊炎
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Hepatic lipidosis in anorectic, lactating holstein cattle: a retrospective study of serum biochemical abnormalities.厌食、泌乳荷斯坦奶牛的肝脏脂肪变性:血清生化异常的回顾性研究
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Safety and efficacy of 4-methylpyrazole for treatment of suspected or confirmed ethylene glycol intoxication in dogs: 107 cases (1983-1995).4-甲基吡唑治疗犬乙二醇中毒疑似或确诊病例的安全性和有效性:107例(1983 - 1995年)
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