Results
AFIP Wednesday Slide Conference - No. 21
February 24, 1999
  - Conference Moderator: 
  COL Michael J. Langford
  Division of Pathology
  Walter Reed Army Institute of Research
  Washington, DC 20307-5100
  -  
  
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Case I - H98-0948 (AFIP 2641252)
  - Signalment: Ten-month-old, Hereford steer.
  
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- History: Steers in a commercial feedlot were fed a
  diet to which sodium molybdate had been accidentally added (instead
  of sodium bicarbonate) at a rate of 1.9% of the total ration.
  Affected animals were inappetent and weak. Of the 800 steers
  in the consignment, 90 died.
  
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- Gross Pathology: There were widespread subcutaneous
  petechial hemorrhages. The liver was pale tan, with irregular,
  focal, 3-5 mm diameter hemorrhages on both the capsular and cut
  surface. The kidneys were swollen and pale.
  
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- Laboratory Results: In a euthanized animal that had
  access to the contaminated feed for up to 6 days, the plasma
  molybdenum concentrations were 13,000 mg/L (430 times the normal
  level). Kidney molybdenum concentrations were 21mg/kg (15 times
  the normal level), and liver molybdenum concentrations were 12
  mg/kg (12 times the normal levels). Fungal cultures of feed samples
  were negative.
  
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- Contributor's Diagnoses and Comments:
  
- 1. Liver: Necrosis, acute, diffuse, severe with mild neutrophilic
  cholangitis and pericholangitis. 
  2. Kidney: Tubular necrosis, acute, moderate.
  
  Etiology: Molybdenum toxicity.
  -  
  
- The contaminated diet in this outbreak contained 7400 mg
  of molybdenum per kilogram of feed. The rapid rise in plasma
  molybdenum concentrations suggest that in cattle, as in humans,
  molybdenum absorption is passive and non-saturable. Tissue molybdenum
  levels had returned to normal concentrations within 70 days of
  the contaminated feed being withdrawn. Previous reports of molybdenosis
  in cattle have involved dietary concentrations of molybdenum
  between 20 and 200 mg/kg, and symptoms were consistent with a
  molybdenum-induced copper deficiency.
  
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- The gross and histopathological changes seen were suggestive
  of a fungal or plant toxin. The hepatic lesions of periacinar
  to massive necrosis accompanied by hemorrhage were suggestive
  of toxicity by blue-green algae (Nodularia spumigena or Microcystis
  aeruginosa), zamia palm (Macrozamia reidlei) or by Myoporum insulare
  ("boobialla"), a plant known to grow in the area. Examination
  of water from troughs, dams and holding tanks showed no evidence
  of blue-green algae, and cattle had no access to trees or shrubs.
  Hepato-renal lesions have been described with toxicity associated
  with the ingestion of Lantana sp., or with plants containing
  polyphenols or tannins, such as yellow wood (Terminalia oblongata),
  black wattle (Acacia salicina) and supplejack (Ventilago viminalis).
  
20x
  obj.
  - Case 21-1. Kidney. There is pyknosis and karyorrhexis
  of tubular epithelial cells (necrosis). Other tubular epithelial
  cells are hyperchromatic with large open nuclei (suggests regeneration).
  There is a mild interstitial lymphocytic infiltrate.
  
40x
  obj.
  - Case 21-1. Liver. Bile ducts contain neutrophils and
  are surrounded by edema. There is degeneration and necrosis of
  adjacent hepatocytes.
  
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- AFIP Diagnoses:
  
- 1. Kidney: Necrosis and regeneration, tubular, diffuse, with
  granular and hyaline casts, Hereford, bovine.
  2. Kidney: Nephritis, interstitial, lymphoplasmacytic, multifocal,
  mild. 
  3. Liver: Necrosis, disseminated. 
  4. Liver: Cholangiohepatitis, neutrophilic, diffuse, mild.
  -  
  
- Conference Note: Participants identified extensive,
  sometimes submassive, hepatic necrosis and neutrophilic portal
  inflammation that multifocally filled bile ducts and disrupted
  the limiting plate. Viable hepatocytes were present among individually
  dissociated and necrotic hepatocytes. In addition to necrosis
  of the tubular epithelium in the kidney, tubular regeneration
  and casts were observed.
  
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- Molybdenum is an essential trace element in plants, humans,
  and ruminants. The metal is necessary for plants to fix nitrogen,
  while in animals it serves as a cofactor in the enzymes xanthine
  oxidase, aldehyde oxidase, and sulfite oxidase. Within the body,
  molybdenum is concentrated in the liver, kidneys, bones, pancreas,
  adrenal glands, and omentum. Molybdenum elimination occurs primarily
  through the renal system, with over 50% of excreted molybdenum
  found in the urine; some is excreted through perspiration in
  humans.
  
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- While the lesions in the steer represent acute molybdenum
  toxicosis, the vast majority of reported cases are due to chronic
  toxicity primarily associated with ingestion of green pasture
  plants grown on soils high in molybdenum, such as muck or shale
  soils in Florida, California, and the western United States ("teart"
  soils in England). Ruminants are most commonly affected, especially
  cattle. Clinical signs and pathological findings reflect disorders
  of the integumentary, musculoskeletal, reproductive, hematolymphatic,
  and gastrointestinal systems. Clinical signs include emaciation,
  lethargy, rough hair coat, malodorous diarrhea, pale mucous membranes
  (due to anemia), sterility, and reluctance to move or pain upon
  locomotion. Pathological findings include microcytic hypochromic
  anemia, enlargement of long bone epiphyses and costochondral
  articulations in young animals, rarefaction of bone and fractures
  in older animals, and increased developmental anomalies in neonates
  born to affected animals. Permanent aspermatogenesis occurs in
  bulls, and while reversible ovarian dysfunction may be present
  in cows.
  
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- Contributor: Agriculture Western Australia, Division
  of Veterinary and Biomedical Sciences, Murdoch University, South
  Street, Murdoch, Western Australia 6150.
  
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- References:
  
- 1. Swan DA, et al.: Molybdenum poisoning in feedlot cattle.
  Aust Vet J 76:345-349, 1998.
  
- 2. Jones TC, Hunt RD, King NW: Diseases due to extraneous
  poisons. In: Veterinary Pathology, 6th ed., page 736, Williams
  and Wilkins, Baltimore, MD, 1997.
  
- 3. Goyer RA: Toxic effect of metals. In: Casarett and Doull's
  Toxicology: The Basic Science of Poisons, Klaassen CD, ed., 5th
  edition, page 718, McGraw-Hill, New York, 1996.
  
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Case II - 97-3319 (AFIP 2648171)
  - Signalment: Five-month-old, male, Ile de France, ovine.
  
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- History: Several animals out of a group of 200 Ile
  de France sheep reared in the Mpumalanga Province (north-eastern
  region) of South Africa developed nervous symptoms. Affected
  sheep initially displayed an unsteady and stiff gait which progressed
  over the course of a few days to total spasticity, convulsions
  and lateral recumbency with paddling, followed by death. Sheep
  of both sexes and all ages were affected, though signs were not
  noted in sheep younger than five months. The sheep had been grazing
  for several months on kikuyu pastures in the mornings and paddocks
  of Phalaris grass and another unspecified grass type in the afternoons.
  The specific Phalaris cultivar was not identified, as the owner
  did not wish to incur further expenses. The sheep were regularly
  drenched with anthelmintics and had been inoculated with a multivalent
  Clostridium/Pasteurella vaccine. A live, five-month-old ram exhibiting
  a stiff gait and periodic convulsions was presented for necropsy.
  
  
  - Case 21-2. Gross Images (The lesions described below
  are very subtle in these photos.)
  Gross Pathology: The most striking lesions were diffuse
  brown discoloration of the cerebral and cerebellar gray matter,
  thalamus, brain stem and medulla; dark brown renal cortices;
  and diffuse olive green to bluish discoloration of the renal
  medullae. Incidental lesions included mild hydrothorax and hydropericardium,
  and low numbers of wire-, nodular-, and tapeworms were present.
  After formalin fixation, scattered multifocal dark brown to black
  specks, probably representing pigmented nuclei, were evident
  in the brain stem and medulla.
  Laboratory Results: Liver and kidney copper values were
  within normal limits.
  -  
  
- Contributor's Diagnosis and Comments: Brain stem/medulla:
  Neuronal cytoplasmic lipofuscin pigmentation, multifocal, moderate.
  
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- A section of medulla or brain stem is submitted for examination.
  Scattered pigmented neurons, usually involving specific nuclei,
  are evident. Affected neurons are either mildly swollen or slightly
  shrunken and basophilic. The pigment is present loosely dispersed
  perinuclearly as golden or dark brown pigment granules, or more
  commonly in a distinct clump to the one side of the nucleus.
  The granules were strongly positive for lipofuscin with the Schmorls'
  stain, but negative for hemosiderin (Prussian blue stain). Mild
  widening of the perineuronal and perivascular spaces, probably
  attributable to edema, is evident. Isolated glial cells in the
  neuropil between affected neurons reveal nuclear pyknosis. Other
  lesions (tissues not submitted) included moderate pigmentation
  of the ventral spinal motor neurons, mild status spongiosis of
  the spinal cord white matter, mild multifocal pigmentation of
  renal cortical and medullary epithelial cells, and scattered
  renal medullary lipofuscin casts.
  
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- Neuronal lipofuscinosis has been described in sheep in South
  Africa in outbreaks of Phalaris staggers and Trachyandra divericata
  poisoning, and in individual aged sheep.1,5 The case presented
  is typical for the chronic form of Phalaris poisoning referred
  to as Phalaris staggers. Phalaris poisoning in sheep is reported
  to occur in three forms: a "sudden death" syndrome;
  acute Phalaris poisoning associated with transient nervous signs;
  and a chronic form referred to as Phalaris staggers.1 Bourke
  et al. proposed that Phalaris poisoning presents as two syndromes:
  an acute syndrome (the so-called "sudden death" syndrome)
  characterized by sudden development of neurological signs in
  the absence of microscopic changes in the central nervous system
  (CNS); and a chronic syndrome (i.e. Phalaris staggers) characterized
  by gradual development of neurological signs and the presence
  of characteristic lesions in the CNS.4 The latter form is a slowly
  progressive, irreversible, neurological disorder which occurs
  in sheep several weeks to months after grazing on Phalaris pastures.1,4
  The nervous signs are thought to be due to 3-tryptamine alkaloids
  which are structurally similar to serotonin.1 No reference could
  be found as to the relationship between these alkaloids and the
  development and accumulation of the lipofuscin-type pigment.
  
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- The "sudden death syndrome" was previously believed
  to be due to sudden cardiac arrest, but recent evidence suggests
  that it can occur as one of two presentations: a cardiac presentation
  or polioencephalomalacic (PEM) presentation. At least four different
  underlying mechanisms are thought to be responsible for this
  syndrome: cardio-respiratory toxins (possibly phenylethylamines
  and some related chemical structures); a thiaminase; cyanogenic
  compounds; and nitrate compounds. The cardiac presentation occurs
  uncommonly and is characterized by cardiac arrhythmias and tachycardia
  followed by ventricular fibrillation. The PEM form is characterized
  histologically by typical lesions of thiaminase-associated PEM.
  
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- Phalaris poisoning is a well-known condition in Australia
  and New Zealand where it has been attributed mainly to the perennial
  grass Phalaris aquatica and, to a lesser extent, the annual grass
  P. minor. In South Africa, only sporadic outbreaks have been
  reported in the Western Cape attributable to P. minor.1,2 The
  present outbreak is the only one that has been reported outside
  the Western Cape.
  
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- The principal differential diagnosis for neuronal pigmentation
  of sheep in southern Africa includes old age pigmentation in
  individual aged sheep (reportedly not evident in sheep <3
  years)5 and poisoning due to the ingestion of tumble-weed (Trachyandra
  laxa and T. divaricata). In the latter condition, pigmentation
  is only rarely evident grossly as occasional khaki-brown flecks
  in scattered nuclei of the brain stem and/or in the spinal cord
  gray matter. Definitive differentiation between Phalaris staggers
  and Trachyandra poisoning rests on pasture/veld investigation
  for the presence of Phalaris or Trachyandra plants.
  
40x
  obj
  - Case 21-2. Brainstem. Neurons contain granular brown
  perinuclear pigment.
  
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- AFIP Diagnosis: Brain stem, neurons: Brown granular
  pigmentation, perinuclear, multifocal, moderate, Ile de France,
  ovine.
  
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- Conference Note: Phalaris and Trachyandra sp. plants
  are known to induce intense lipofuscin storage in neurons of
  the thalamus, spinal cord, and peripheral ganglia, although the
  toxic principle and pathogenesis remain to be identified. While
  the observation of the pigment in neurons is diagnostically useful
  in suspected cases of toxicity, especially in young animals,
  the accumulation of lipofuscin does not seem sufficient to explain
  the clinical signs and mortality. As noted by the contributor,
  some authors have proposed that central nervous system signs
  result from serotonergic effects of toxins on upper motor neurons.
  The presence of lipofuscin may represent accumulation of indolic
  metabolites in neuronal lysosomes.
  
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- Other conditions causing excessive accumulation of lipopigments
  within neurons discussed by conference participants included
  Gomen disease of horses and inherited ceroid-lipofuscinosis.
  Gomen disease occurs in horses in New Caledonia, and a toxin
  is suspected as the underlying etiology. Gomen disease is characterized
  by cerebellar neuronal degeneration, loss of Purkinje and granule
  cells, thinning of the molecular layer, and accumulation of lipofuscin
  in surviving Purkinje cells and neurons of the brain and spinal
  cord. Inherited ceroid-lipofuscinosis is due to an autosomal
  recessive trait reported in sheep, cattle, dogs, and cats. Neurons
  at all levels of the brain and spinal cord contain lipopigments,
  and many other cell types are frequently affected as well.
  
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- Contributor: Onderstepoort Veterinary Institute, Pathology
  Section, PO Box 12502, Onderstepoort 0110, South Africa.
  
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- References:
  
- 1. Kellerman TS, Coetzer JAW, Naudé TW: Plant poisonings
  and mycotoxicoses of livestock in southern Africa, 2nd ed., pp.
  24-28, Oxford University Press, Cape Town, South Africa, (in
  print).
  
- 2. Van Halderen A, Green JR, Schneider DJ: An outbreak of
  suspected Phalaris staggers in sheep in the Western Cape Province.
  J South African Vet Assoc 61:39-40, 1990.
  
- 3. Bourke CA, Carrigan MJ: Mechanisms underlying Phalaris
  aquatica "sudden death" syndrome in sheep. Australian
  Vet J 69:165-167, 1992.
  
- 4. Bourke CA, Carrigan MJ, Seaman JT, Evers JV: Delayed development
  of clinical signs in sheep affected by Phalaris aquatica staggers.
  Australian Vet J 69:31-32, 1987.
  
- 5. Newsholme SJ, Schneider DJ, Reid C: A suspected lipofuscin
  storage disease of sheep associated with ingestion of the plant,
  Trachyandra divaricata. Onderstepoort J Vet Res 52:87-92, 1985.
  
- 6. Jubb KVF, Huxtable CR: The nervous system. In: Pathology
  of Domestic Animals, Jubb KVF, Kennedy PC, Palmer N, eds., 4th
  edition, vol. 1, pp. 285 and 317-321, Academic Press, San Diego,
  CA, 1993.
  
- 7. Summers BA, Cummings JF, de Lahunta A: Degenerative diseases
  of the central nervous system. In: Veterinary Neuropathology,
  page 263, Mosby Yearbook, St. Louis, MO, 1995.
  
- 8. Jolly RD, Walkley SU: Lysosomal storage diseases of animals:
  An essay in comparative pathology. Vet Pathol 34:527-548, 1997.
  
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Case III - 98-1263 (AFIP 2638861)
  - Signalment: Sixteen-month-old, female, Dorset sheep.
  
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- History: The ewe was noted to be off feed in the morning
  and was dead when checked again in the early afternoon of the
  same day. No previous signs were noted.
  
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- Gross Pathology: The ewe was moderately obese. Petechiae
  were seen on the visceral pleura lining the thoracic cavity and
  paralleling the coronary vessels. The liver was firm and had
  an accentuated lobular pattern.
  
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- Laboratory Results: The liver copper level was 333
  mg/g (toxic range is greater than 250 mg/g), and the kidney copper
  level was 149 mg/g (toxic range is greater than 18 mg/g).
  
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- Contributor's Diagnoses and Comments:
  
- 1. Hepatocellular necrosis, centrilobular, severe, acute,
  liver. 
  2. Periportal fibrosis, biliary hyperplasia, and occasional megalocytosis,
  liver.
  -  
  
- The liver has severe, nearly massive, centrilobular and midzonal
  hepatocellular necrosis together with severe periportal to bridging
  fibrosis and biliary hyperplasia. Approximately 10-15% of the
  hepatocytes remain. In addition to necrosis, most centrilobular
  regions have severe hemorrhage. Some hepatocytes that remain
  in periportal zones are large and have big, vesicular nuclei
  (karyomegaly). There is fibrosis and biliary hyperplasia that
  bridges portal areas. Fibrosis breaches the limiting plates and
  extends into hepatic lobules. The periportal zones have mild
  to moderate sized accumulations of macrophages admixed with a
  few lymphocytes. Many of the macrophages have pale, brown cytoplasmic
  pigment.
  
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- Intratubular hemoglobin casts were observed in the kidney
  in addition to the hepatic changes. The acute hepatocellular
  necrosis, taken with the kidney lesions, suggests acute hemolytic
  crisis precipitated by copper intoxication. This is supported
  by the elevated liver and kidney copper levels. The periportal
  fibrosis, biliary hyperplasia, and megalocytosis suggest an underlying
  pyrrolizidine alkaloid toxicosis or aflatoxicosis. Pyrrolizidine
  alkaloids are the most significant hepatotoxins associated with
  chronic copper poisoning, with Heliotropium or Echium sp. being
  the most common. Pyrrolizidine alkaloid inhibition of hepatocyte
  mitosis, which decreases the ability of the liver to replace
  hepatocytes lysed by excessive copper, is one possible mechanism.
  
2x
  obj.
  - Case 21-3. Liver. There is diffuse centrilobular to
  submassive hepatocellular necrosis.
  
20x
  obj.
  - Case 21-3. Liver. There is  proliferation of periportal
  fibroblasts and bile duct epithelial cells, with adjacent necrotic
  hepatocytes.
  
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- AFIP Diagnoses:
  
- 1. Liver: Necrosis, centrilobular to submassive, with hemorrhage
  and intrahistiocytic light greenish-brown pigment, Dorset sheep,
  ovine.
  2. Liver: Biliary hyperplasia and bridging portal fibrosis, diffuse,
  mild to moderate.
  -  
  
- Comment: Some participants observed intranuclear inclusions
  which were considered to be non-viral. Participants identified
  biliary hyperplasia and bridging portal fibrosis, but did not
  identify hepatocyte megalocytosis. The rhodanine stain performed
  at the AFIP revealed moderate amounts of intracytoplasmic copper
  within Kupffer cells in portal areas and small amounts within
  periportal hepatocytes.
  
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- Conference Note: Copper is unique among the heavy
  metals for its selective toxic effects on the liver. Of the domestic
  animal species, sheep are the most prone to copper poisoning.
  The avidity of the liver for copper, coupled with the limited
  rate of copper excretion in the bile in sheep, predispose these
  animals to chronic copper toxicity. Additionally, chronic copper
  poisoning in sheep is related to three environmental factors:
  excessive copper intake, such as from contaminated pasture; increased
  bioavailability of dietary copper due to low molybdenum levels
  resulting in excessive absorption and accumulation (molybdenum
  forms insoluble complexes with copper in the gastrointestinal
  tract); and the presence of other hepatotoxins, such as pyrrolizidine
  alkaloids, predisposing animals to outbreaks.
  
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- In the absence of contributory factors, liver copper concentrations
  less than 200-300 parts per million (ppm) on a dry matter basis
  seem to cause little hepatocellular damage in sheep. Microscopic
  changes occur in the liver at levels of 300 ppm or more, observed
  initially as single cell hepatocyte apoptosis and neutrophilic
  inflammation. The apoptotic rate increases as the level of copper
  accumulation increases, and the mitotic rate simultaneously increases
  to keep pace with lost hepatocytes. Sheep with liver concentrations
  in excess of 1,000 ppm may be clinically and hematologically
  normal, if the mitotic rate produces adequate numbers of new
  hepatocytes to take up copper released by dying liver cells.
  When hepatocellular loss exceeds the rate of replacement, copper
  spills into the plasma in high enough concentrations to damage
  erythrocytes, causing intravascular hemolysis, which further
  accelerates hepatocellular necrosis. Thus, hepatocellular mitotic
  activity is critical to the delay of acute hemolytic crises.
  
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- Pyrrolizidine alkaloids, found in a variety of toxic plants,
  are well-known for their antimitotic effect on hepatocytes. The
  interference of hepatocellular replication leads to acute hemolytic
  crisis at an earlier stage of copper accumulation in affected
  sheep. This mechanism probably explains the marginal elevation
  in liver copper levels of the clinically affected sheep submitted
  for examination. Less specific stresses, such as brief periods
  of starvation, may also precipitate a hemolytic crisis. Histologically,
  pyrrolizidine alkaloid hepatotoxicity is characterized by hepatocyte
  megalocytosis, with concurrent biliary hyperplasia and portal
  fibrosis. The severity of portal fibrosis is species variable,
  being minimal to mild in sheep, moderate in horses, and severe
  in cattle, in which veno-occlusive disease may be observed.
  
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- Conference participants did not initially attribute the microscopic
  lesions in the liver of this sheep to chronic copper toxicosis
  and pyrrolizidine alkaloid exposure. Megalocytosis is a consistent
  microscopic feature in cases of pyrrolizidine alkaloid toxicosis,
  and participants did not consider this a prominent finding in
  the examined sections. Biliary hyperplasia and portal fibrosis
  are relatively nonspecific changes. Chronic hepatic disease of
  various causes may secondarily lead to abnormal accumulation
  of copper in the liver. Thus, participants found it difficult
  to determine the pathogenesis of the liver lesions and accumulation
  of copper. After learning of the laboratory and other pathologic
  findings, participants agreed with the contributor's assessment
  of this case.
  
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- Contributor: Department of Veterinary Microbiology
  and Pathology, Washington State University, Pullman, WA 99164-7040.
  
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- References:
  
- 1. Howell JH, et al.: Experimental copper and Heliotrope
  intoxication in sheep: Morphological changes. J Comp Pathol 105:49-74,
  1991.
  
- 2. Seaman JT: Hepatogenous chronic copper poisoning in sheep
  associated with grazing Echium plantagineum. Australian Vet J
  62:247-248, 1985.
  
- 3. Seaman JT: Pyrrolizidine alkaloid poisoning of sheep in
  New South Wales. Australian Vet J 64:164-167, 1987.
  
- 4. Jones TC, Hunt RD, King NW: Diseases due to extraneous
  poisons. In: Veterinary Pathology, 6th ed., pp. 708 & 712-718,
  Williams and Wilkins, Baltimore, MD, 1997.
  
- 5. Jones TC, Hunt RD, King NW: The digestive system. In:
  Veterinary Pathology, 6th ed., pp. 1098-1100, Williams and Wilkins,
  Baltimore, MD, 1997.
  
- 6. Kelly WR: The liver and biliary system. In: Pathology
  of Domestic Animals, Jubb KVF, Kennedy PC, Palmer N, eds., 4th
  edition, volume 2, pp. 392-400, Academic Press, San Diego, CA,
  1993.
  
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Case IV - ND1 (AFIP 2641844)
  - Signalment: Three-month-old Hereford heifer.
  
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- History: Several calves tore down a fence around a
  lagoon overflow pond. A total of three calves were found dead
  near the lagoon. A heavy algal growth was noted on the lagoon
  surface.
  
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- Gross Pathology: Per the referring veterinarian, petechiation
  of serosal surfaces of abdominal organs was present. Only the
  liver was submitted to the diagnostic laboratory. On cut surface,
  coalescing areas of hemorrhage were noted throughout the hepatic
  parenchyma.
  
-  
  
- Laboratory Results: A water sample from the lagoon
  submitted to the North Dakota Department of Health identified
  pure growth of Microcystis aeruginosa.
  
  Contributor's Diagnosis and Comments: Liver: Centrilobular
  necrosis and hemorrhage, severe, acute, coalescing with centrilobular
  hepatocellular disassociation.
  
  Etiology: Toxicosis due to Microcystis aeruginosa ("blue-green
  algae") and microcystin-LR toxin.
  -  
  
- Microcystin-LR, a hepatotoxin produced by the blue-green
  algae Microcystis aeruginosa, sporadically causes sudden death
  in livestock. Typical case histories indicate lagoons or ponds
  with a heavy algal bloom that is ingested by drinking livestock.
  The ultrastructural lesion, occurring as early as ten minutes
  after ingestion, is a rearrangement of the actin cytoskeleton
  leading to cell rounding, disassociation, and degeneration. Necrosis
  of hepatocytes is observed at 60 minutes. Light microscopic changes
  include centrilobular necrosis and hemorrhage, as seen in this
  case. Differential diagnosis included bovine pestivirus (bovine
  viral diarrhea), Clostridium chauvoei, salmonellosis, lead toxicosis,
  and lightning strike.
  
20x
  obj.
  - Case 21-4. Liver. There is degeneration, individualization,
  and necrosis of hepatocytes throughout the lobule with centrilobular
  hemorrhage and hemosiderin deposition.
  
-  
  
- AFIP Diagnosis: Liver: Necrosis, massive, with hepatocellular
  disassociation and hemorrhage, Hereford, bovine.
  
-  
  
- Conference Note: Several species of blue-green are
  known to cause poisoning in domestic and wild animals or birds
  in various parts of the world. Most documented cases involved
  Microcystis aeruginosa, though other species known to cause toxicity
  include members of the genera Anabaena, Oscillatoria, and Nostoc.
  While outbreaks of blue-green algae poisoning are uncommon, they
  can be responsible for high mortality. The algal blooms have
  been associated with water runoff from fertilized soil, and the
  algae may then become concentrated on the shoreline of ponds
  due to the effects of wind. Poisoning occurs most commonly in
  ruminants, although cases have also been reported in horses,
  dogs, sheep, swine, and domestic poultry.
  
-  
  
- In most poisoned animals, death occurs within hours of ingestion
  of contaminated water, and few animals recover. A few cases may
  have a subacute or chronic clinical course. When observed, clinical
  signs in acute cases include prostration followed by convulsions,
  or generalized paralysis. Generalized petechiation and cavitary
  effusions are observed at necropsy in acute cases. In subacute
  and chronic cases, clinical signs reflect hepatic insult and
  include ataxia, depression, anorexia, hemorrhagic diarrhea, and
  icterus. Necropsy findings in subacute cases include icterus
  and a fatty, yellow, friable liver. In chronic cases, the liver
  may be hard and cirrhotic; severe cutaneous lesions caused by
  photosensitization may be observed in recovered animals.
  
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- Freshwater blue-green algae produce a variety of hepatotoxins
  known as microcystins that are inhibitors of protein phosphatases.
  The toxic principle, microcystin-LR, is released upon disintegration
  of algae either in the water, or within the rumen or stomach
  after ingestion. Microcystin-LR is one of the most potent hepatotoxins
  and produces coagulative necrosis and hemorrhage in the liver.
  Covalent binding of protein phosphatases by microcystin-LR inhibits
  the activity of the enzymes and leads to hyperphosphorylation
  of cytoskeletal proteins, rearrangement of intermediate filaments
  and microtubules, and disorganization of the cytoskeleton, resulting
  in disassociation and necrosis of hepatocytes. Microcystin-LR
  also causes necrosis of endothelial cells in the liver and may
  result in embolization of hepatocytes to the lung. Recently,
  some investigators have attributed the extensive coagulative
  necrosis in the liver to ischemia based upon the distribution
  of the microscopic lesions in the early stages of experimentally
  induced toxicity in rodents. Both mechanisms probably contribute
  to the severity of the hepatic lesion. Microcystins also have
  tumor promoting activity in animals.
  
-  
  
- Contributor: North Dakota State University, Veterinary
  Diagnostic Laboratory, Fargo, ND 58105.
  
-  
  
- References:
  
- 1. Hooser SB, et al.: Microcystis-LR-induced ultrastructural
  changes in rats. Vet Pathol 27:9-15, 1990.
  
- 2. Hooser SB, et al.: Actin filament alternatives in rat
  hepatocytes induced in vivo and in vitro by microcystin-LR, a
  hepatotoxin from the blue-green alga, Microcystis aeruginosa.
  Vet Pathol 28:259-266, 1991.
  
- 3. George LW: Diseases of the nervous system. In: Large Animal
  Internal Medicine: Diseases of Horses, Cattle, Sheep, and Goats,
  Smith BP, ed., 2nd edition, pp. 1078-1080, Mosby-Year Book, St.
  Louis, MO, 1996.
  
- 4. Kelly WR: The liver and biliary system. In: Pathology
  of Domestic Animals, Jubb KVF, Kennedy PC, Palmer N, eds., 4th
  edition, volume 2, pp. 385-386, Academic Press, San Diego, CA,
  1993.
  
- 5. Jones TC, Hunt RD, King NW: Diseases due to extraneous
  poisons. In: Veterinary Pathology, 6th ed., pp. 723-724, Williams
  and Wilkins, Baltimore, MD, 1997.
  
- 6. Yoshida T, et al.: Immunohistochemical localization of
  microcystin-LR in the liver of mice: A study on the pathogenesis
  of microcystin-LR-induced hepatotoxicity. Toxicol Pathol 26:411-418,
  1998.
  
-  
  
-  
  
- Ed Stevens, DVM
  Captain, United States Army
  Registry of Veterinary Pathology*
  Department of Veterinary Pathology
  Armed Forces Institute of Pathology
  (202)782-2615; DSN: 662-2615
  Internet: STEVENSE@afip.osd.mil
  -  
  
- * The American Veterinary Medical Association and the American
  College of Veterinary Pathologists are co-sponsors of the Registry
  of Veterinary Pathology. The C.L. Davis Foundation also provides
  substantial support for the Registry. 
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