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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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III. Nephrotoxicity<br />

825<br />

suggested as a screening test for subclinical hepatic damage<br />

in horses exposed to Crotolaria spp. ( Curran et al., 1996 ).<br />

Hepatotoxic solanaceae include Cestrum parqui,<br />

C. laevigatum, and C. aurantiacum . The toxin in these<br />

plants has been identified as atractyloside.<br />

Sawfly larvae (Lophyrotoma interruptus and Arge pullata<br />

) infesting eucalyptus and birch trees in Australia and<br />

Denmark, respectively, have been reported to induce hepatic<br />

necrosis in cattle, sheep, and goats browsing foliage.<br />

Terminalia oblongata , the yellowwood tree <strong>of</strong><br />

Australia, contains hepatotoxic tannins and pucicalagin,<br />

which induces acute hepatic necrosis ( Kelly, 1993 ).<br />

III . NEPHROTOXICITY<br />

Acute nephrotoxicity ( Table 27-2 ) may initially<br />

induce polyuria that is followed by oliguria or anuria.<br />

Nephrotoxins affecting approximately 66% <strong>of</strong> the nephrons<br />

will result in inability to concentrate urine to a specific<br />

gravity greater than 1.030 in the dog, 1.035 in the cat, and<br />

1.025 in the horse and cow. Chronic toxicity may result in<br />

isosthenuria (constant urine osmolality in the range <strong>of</strong> glomerular<br />

filtrate, 1.008 to 1.012).<br />

The majority <strong>of</strong> urea is synthesized in the liver from<br />

ammonia formed by protein catabolism or intestinal<br />

absorption. Urea enters the vascular system and is distributed<br />

throughout the total body water compartment<br />

by passive diffusion. The urea concentration <strong>of</strong> blood<br />

and glomerular filtrate is approximately equal. Urea passively<br />

diffuses from the tubular lumen back to the blood.<br />

Urine flow rate is inversely related to urea reabsorption.<br />

Gastrointestinal secretion is inconsequential in monogastrics;<br />

however, in ruminants up to 90% <strong>of</strong> urea in glomerular<br />

filtrate may be reabsorbed and enter the rumen via<br />

saliva for utilization in amino acid synthesis.<br />

TABLE 27-2 Nephrotoxins<br />

Nephrotoxin Disease Onset Geography Species Affected<br />

Amaranthus retr<strong>of</strong>l exus (pigweed) Subacute US B, P<br />

Antibiotics Acute to chronic Worldwide All<br />

Cantharidin (blister beetle) Acute US B, Cp, E, O<br />

Chlorinated hydrocarbons Acute Worldwide All<br />

Ethylene glycol Acute Worldwide B, Cn, F, P<br />

Fumonisin ( Fusarium moniliforme ) Acute to chronic Worldwide E, O, P<br />

Gossypol (cottonseed) Chronic Worldwide B<br />

Hemoglobin Acute All<br />

Hypercalcemia Chronic Worldwide All<br />

Isotropis spp. Acute AUS B, O<br />

Lantana camara Chronic US, MEX, AUS, AFR B, E, O<br />

Menadione Acute Worldwide E<br />

Metals (Cd, Hg, Pb, Tl) Acute to chronic Worldwide All<br />

Myoglobin Acute All<br />

Ochratoxin ( Penicillium ochraceus ) Chronic Worldwide P<br />

Oxalates Acute to chronic Worldwide B, Cp, O, P<br />

Paraquat/diquat Acute Worldwide All<br />

Petroleum Acute Worldwide All<br />

Phenothiazine Acute Worldwide E<br />

Phenylbutazone Acute Worldwide E<br />

Phosphorus Acute Worldwide All<br />

Pyrrolizidine alkaloids Chronic Worldwide B, Cp, E, O, P<br />

Tannins ( Quercus spp., oaks) Acute Worldwide B, Cp, E, O<br />

Terminalia oblongata (yellowwood) Acute to chronic AUS B, O<br />

Abbreviations: B, bovine; Cn, canine; Cp, caprine; E, equine; F, feline; O, ovine; P, porcine.

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