Kopecka Andrea, Novotna Tereza, Svobodova Zdenka, Drabkova Zuzana
Equine Clinic, Faculty of Veterinary Medicine, University of Veterinary Sciences Brno, Brno, Czech Republic.
Department of Animal Protection and Welfare and Veterinary Public Health, Faculty of Veterinary Hygiene and Ecology, University of Veterinary Sciences Brno, Brno, Czech Republic.
Vet Med (Praha). 2024 Sep 22;69(9):329-336. doi: 10.17221/37/2024-VETMED. eCollection 2024 Sep.
This study describes a case of poisoning by pyrrolizidine alkaloids in a horse. To the best of the author's knowledge, this is the first confirmed case of poisoning. A six-year-old 450-kg Irish cob mare was presented to the Equine Clinic of the University of Veterinary Sciences Brno (Czechia) with symptoms of hepatic encephalopathy, which progressively worsened with time despite intensive therapy and led to euthanasia. A complex diagnostic and therapeutic approach including the post-mortem patoanatomical and histopathological examination is described here. Regarding the histopathology of the liver, there was necrosis with haemorrhage, fatty changes and inflammation. A later inspection of the grazing area revealed the presence of (wood ragwort). A sensitive chromatographic method was used to determine the pyrrolizidine alkaloids and their metabolites in the plasma and the liver. In both of the samples, metabolites of pyrrolizidine alkaloids were detected. Although pyrrolizidine alkaloid poisoning was proven, the histopathological findings typical for this disease were absent. It is clear from our case that the histopathology in cases of poisoning by pyrrolizidine alkaloids may not always be conclusive.
本研究描述了一匹马吡咯里西啶生物碱中毒的病例。据作者所知,这是首例确诊的中毒病例。一匹6岁、体重450千克的爱尔兰科布母马被送至布尔诺兽医科学大学(捷克)的马科诊所,出现了肝性脑病症状,尽管接受了强化治疗,但症状仍随时间逐渐恶化,最终导致实施安乐死。本文描述了一种包括死后病理解剖和组织病理学检查在内的综合诊断和治疗方法。关于肝脏的组织病理学,存在坏死伴出血、脂肪变性和炎症。后来对放牧区域的检查发现了(木千里光)的存在。采用一种灵敏的色谱方法测定血浆和肝脏中的吡咯里西啶生物碱及其代谢产物。在两个样本中均检测到了吡咯里西啶生物碱的代谢产物。尽管已证实为吡咯里西啶生物碱中毒,但该病典型的组织病理学表现并不存在。从我们的病例可以清楚地看出,吡咯里西啶生物碱中毒病例的组织病理学检查结果可能并不总是具有决定性意义。