Neurological diseases in cattle caused by plants and mycotoxins in Santa Catarina state, Brazil / Enfermidades neurológicas em bovinos causadas por plantas e micotoxinas no estado de Santa Catarina

This study described the epidemiological and clinical-pathological aspects of 25 outbreaks of neurological diseases in cattle caused by plants and mycotoxins in Santa Catarina state. Six of them were due to Sida carpinifolia poisoning, five to Solanum fastigiatum, five to Phalaris angusta, three to Claviceps paspali, three to Claviceps purpurea, and three outbreaks were of unknown etiology. The clinical signs observed in the affected cattle were mild to severe and characterized by generalized muscle tremors, incoordination, hypermetria, wide-based stance, intentional head tremors, dull staring eyes, and frequent ear twitching, with convulsions in some cases. At necropsy, lesions were observed only for P. angusta poisoning, characterized by gray-greenish discoloration in thalamus and midbrain. Microscopically, rarefaction and/or disappearance of Purkinje neurons with substitution by Bergmann cells were observed for S. carpinifolia and S. fastigiatum poisoning. For P. angusta poisoning, thin granular brown-yellowish pigment was observed in the cytoplasm of some neurons. Gross and microscopic findings were not observed in three outbreaks of tremorgenic disease of unknown etiology. Experiments conducted with leaves, flowers and seeds of Ipomoea indivisa and Ipomoea triloba, as well as with maize and soybean residues contaminated with Ipomoea spp. did not reproduced clinical signs.(AU)

Descrevem-se os aspectos epidemiológicos e clinico-patológicos de 25 surtos de enfermidade neurológica em bovinos no estado de Santa Catarina causadas por plantas e micotoxinas. Destes, seis corresponderam a intoxicação por Sida carpinifolia, cinco por Solanum fastigiatum, cinco por Phalaris angusta, três por Claviceps paspali, três por Claviceps purpurea e três surtos de etiologia não definida. Os sinais clínicos observados nos bovinos afetados eram de intensidade leve a acentuada e caracterizados por tremores musculares generalizados, incoordenação, hipermetria, aumento da base de sustentação, balanço contínuo de cabeça, olhar atento e movimentos frequentes de orelhas, e em alguns surtos convulsões. Por meio de necropsia foram observadas alterações somente na intoxicação por P. angusta as quais caracterizaram por coloração cinza-esverdeada no tálamo e mesencéfalo. Na histologia, rarefação e/ou desaparecimento de neurônios de Purkinje com substituição por células de Bergmann foram observadas na intoxicação por S. carpinifolia e S. fastigiatum. Na intoxicação por P. angusta foi observado no citoplasma de alguns neurônios do tronco encefálico com pigmentação finamente granular marrom-amarelada. Nos três surtos de enfermidade tremorgênica com etiologia não definida não foram observadas lesões macroscópicas e microscópicas. Experimentos com folhas, flores e sementes de Ipomoea indivisa e Ipomoea triloba e resíduos de milho e soja contaminados com sementes destas duas plantas não produziram alterações clínicas.(AU)

Electromyographic and laboratory findings in acute Solanum torvum poisoning.

CONTEXT: Solanum torvum berries, known as susumber or turkey berries, are prepared as part of traditional Jamaican dishes usually served with cod and rice. Poisoning is rare. Although toxic compounds have never been definitively isolated, previous reports suggest toxicity results from inhibition of acetylcholinesterases. We present a case of susumber berry poisoning with detailed electromyographic studies and laboratory analysis. CASE DETAILS: A 54-year-old woman presented to the Emergency Department (ED) complaining of vision, speech, and gait changes; emesis; and diffuse myalgias following consumption of susumber berries. The physical examination demonstrated an intact, lucid mental status, miosis, opsoclonus, severe dysarthria, dysmetria, mild extremity tenderness and weakness, and inability to ambulate. Her symptom constellation was interpreted as a stroke. DISCUSSION: Electromyography demonstrated a pattern of early full recruitment as well as myotonia during the period of acute toxicity. Additionally, solanaceous compounds, in particular solasonine and solanidine, were identified in leftover berries and the patient's serum. Store-bought commercial berries and subsequent serum samples were free of such toxic compounds. EMG studies, together with a laboratory analysis of berries or serum can assist in the differential diagnosis of stroke, and provide both a prognostic screening and confirmation of suspected glycoside toxicity.

Successful treatment of Solanum dulcamara intoxication in a Labrador retriever puppy.

A 10-week-old intact male Labrador retriever dog was presented for acute onset of weakness, ataxia, and generalized muscle tremors. The puppy was suffering respiratory and central nervous system (CNS) depression, was mildly pyrexic, and vomited plant material that was identified as creeping nightshade (Solanum dulcamara). He responded well to supportive care and was discharged successfully. To the authors' knowledge, this is the first report of Solanum dulcamara toxicity occurring in a dog.

Traitement réussi d'une intoxication parSolanum dulcamarachez un chiot Labrador retriever. Un chien Labrador retriever mâle intact âgé de 10 semaines a été présenté pour l'apparition aiguë de faiblesse, d'ataxie et des tremblements musculaires généralisés. Le chiot souffrait d'une dépression du système respiratoire et du système nerveux central (SNC), présentait une pyrexie légère et vomissait du matériau végétal qui a été identifié comme étant de la morelle douce-amère (Solanum dulcamara). Il a bien répondu à des soins de soutien et a reçu un congé pour un traitement réussi. À la connaissance des auteurs, c'est le premier rapport d'une toxicité de Solanum dulcamara se produisant chez un chien.(Traduit par Isabelle Vallières).

Alterações no SNC e morfometria cerebelar de bovinos intoxicados experimentalmente por Solanum paniculatum / Alterations in the CNS and cerebellar morphometry of cattle experimentally poisoned by Solanum paniculatum

Algumas espécies de Solanum causam intoxicações em ruminantes caracterizadas clinicamente por desordens cerebelares e microscopicamente como doença do depósito lisossomal. Não há lesões de necropsia específicas e microscopicamente ocorrem vacuolização e perda de neurônios de Purkinje. Por ser Solanum paniculatum a espécie de ocorrência na região Nordeste, sendo responsável pelos surtos de intoxicação espontânea descrito no Estado de Pernambuco foi realizado um delineamento experimental para caracterizar o quadro clínico-patológico da intoxicação. Foram usados cinco bovinos, sendo quatro no grupo experimental (GE) e um animal no controle (GC), de seis meses de idade, sem raça definida, com peso de 120 Kg, mantidos em baias durante cinco meses na Clínica de Bovinos de Garanhuns/UFRPE. Os animais receberam a planta, colhida nas propriedades em que ocorreram os surtos naturais, na dosagem de 5g/kg/PV/dia da planta dessecada misturada na ração por ingestão natural. Semanalmente realizou-se o Head Raising Test para determinar os sinais cerebelares e quando positivo os animais foram submetidos à colheita de sangue e do líquido céfalo-raquidiano e em seguida foi feito à eutanásia.

O SNC e a rete mirabile foram fixados em formol a 10% tamponado, processados rotineiramente e corados pela hematoxilina e eosina para avaliação histopatológica. Foi realizada análise morfométrica das lesões cerebelares. Para avaliação dos resultados laboratoriais utilizou-se análise descritiva e em relação à morfometria, empregou-se o teste T de Student (p<0.05) na contagem de células de Purkinje e para a espessura da camada molecular do cerebelo o teste de Mann Whitney, com nível de 5% de significância. Três animais apresentaram sinais de intoxicação com tempo em média de 90 dias e um com 155 dias. Os sinais clínicos observados foram ataques convulsivos transitórios, e distúrbios do equilíbrio. Na necropsia não foram encontradas lesões específicas da intoxicação. Não houve alterações no hemograma e no líquido céfalo-raquidiano causado pela planta. No histopatológico havia principalmente vacuolização fina do pericário e perda de células de Purkinje, com degeneração Walleriana e esferóides axonais na camada granular e na substância branca medular, com proliferação dos astrócitos de Bergman. Vacuolização e necrose neuronal também foram observadas no óbex, pedúnculos cerebelares e colículos rostral e caudal e raramente no tálamo, núcleos da base, hipocampo e medula oblonga. Na análise morfométrica não houve diferença significativa (p<0,05) entre o número de células de Purkinje e a espessura da camada molecular entre o GE e GC, demonstrando que apesar dos bovinos desenvolverem quadro clínico da intoxicação e alterações histopatológicas acentuadas, mas nestas condições experimentais não ocorreram alteração morfométricas significativas em relação ao GC.

Sugerindo que há necessidade de um tempo de administração maior da planta para o aparecimento de lesões mais acentuadas como as que ocorrem em casos naturais. Os resultados laboratoriais de sangue e do líquido céfalo-raquidiano não refletem alterações relacionadas à intoxicação pela planta.

Some species of Solanum cause poisoning in ruminants clinically characterized by cerebellar disorders and microscopically lysosomal storage disease. There are no specific necropsy injuries and microscopically occurs vacuolation and Purkinje cells loss. Since Solanum paniculatum is the species of greater occurrence in the Northeast region of Brazil and is responsible for spontaneous intoxication outbreaks in Pernambuco State, an experimental delineation was carried out to characterize the clinical and pathological condition of the intoxication. Five cattle were randomly allotted in two groups, with four animals in the experimental group (EG) and one animal as control (CG), with six months of age, no defined breed and weighting 120 kg. All animals were kept in stalls along 5 months in the Clínica de Bovinos de Garanhuns/UFRPE. All animals from the experimental group were fed 5g/kg/body weight/day of the dried leaves of S. paniculatum which was mixed in the ration. The plant was collected in farms where outbreaks of intoxication were described. A Head Raising Test was weekly performed to determine the occurrence of any cerebellum clinical signs and when the result was positive the animal was submitted to a blood and cerebrospinal fluid sampling and subsequently euthanized.

The nurses' role in the prevention of Solanum infection: dealing with a zombie epidemic.

AIMS: To outline the background and nursing interventions for Solanum infection in the event of a zombie epidemic. BACKGROUND: Literature and feature film evidence supports the theoretical probability for an outbreak of a Solanum infection which could result in a zombie epidemic. This paper discusses the causative agent, history of zombiism, signs and symptoms, diagnosis and nursing interventions. DESIGN: Review. METHODS: Academic and general literature and web sites were searched up to February 2011 for the key words, 'zombie', 'zombie nurses', 'zombie epidemic' and 'zombie nursing interventions'. Limited academic literature was sourced pointing to a serious knowledge deficit in this area. RESULTS: If nurses are to respond successfully to a potential Solanum epidemic they need to be prepared and able to recognise Solanum infection, prevent its spread and care appropriately for sufferers and victims of a zombie attack. Advice is offered on prevention, initial nursing management and secondary nursing interventions including dealing with reanimation, palliative care and psychological support. CONCLUSION: History offers numerous examples of the sudden appearance of a serious disease that has impacted on man kind's survival. While difficult to conceive, a zombie epidemic is theoretically possible and nurses have a responsibility to be as prepared as possible to support and care for victims. RELEVANCE TO CLINICAL PRACTICE: Nurses are likely to be the front line staff faced with initiating most primary and secondary care interventions, including isolation and infection control, wound care, pain relief, documentation observations, support for activities of daily living, nutrition and fluid support, medication administration and other interventions.

Calbindin D28k expression and the absence of apoptosis in the cerebellum of Solanum bonariense L-intoxicated bovines.

Solanum bonariense intoxication is characterized by cerebellar neuronal vacuolation, degeneration, and necrosis. Cerebellar Purkinje cells seem especially susceptible, but more research is needed to determine the pathogenesis of neuronal necrosis and the mechanism of Purkinje cell susceptibility. Calbindin D28k (CbD28k) is highly expressed in Purkinje cells and has been used as a marker for normal and degenerative Purkinje cells. The goal of this study was to describe S bonariense-induced disease by ascertaining Purkinje cell-specific degenerative changes using CbD28k expression and to correlate this with apoptosis in Purkinje cells, as determined using TUNEL (transferase-mediated dUTP-biotin nick end-labeling) and ultrastructural changes. In all cases, an increase in both dose and duration of S bonariense intoxication resulted in a decrease in the number of Purkinje cells. CbD28k immunohistochemistry was an excellent marker for Purkinje cells because immunoreactivity did not change in normal or degenerative tissues. This finding suggests that excessive calcium excitatory stimulation does not induce rapid neuronal degeneration and death. As found in previous studies, TUNEL tests and electron microscopy suggest that Purkinje cell degeneration and death are not occurring via an apoptotic process. These findings suggest that S bonariense poisoning induces progressive Purkinje cell death that is not mediated by excitotoxicity or apoptotic activation.

Cerebellar cortical degeneration in cattle caused by Solanum kwebense.

The pathology of maldronksiekte, a sporadic neurological disorder of cattle caused by the ingestion of the plant Solanum kwebense in certain parts of South Africa, was studied in three chronic field cases. There was loss of cerebellar Purkinje cells with the remaining neurons either swollen or shrunken and showing degeneration and necrosis. Ultrastructurally, neurons with a swollen perikaryon showed depletion and empty dilated cisternae of granular endoplasmic reticulum. In a few Purkinje cells, the cytoplasm contained small numbers of lamellar and membranous bodies. In the shrunken neurons, the highly condensed cytoplasm contained distended Golgi saccules, dense clusters of granular endoplasmic reticulum and swollen mitochondria. Lectin histochemistry revealed that the cytoplasmic vacuoles in some distended Purkinje cells stained strongly with Canavalia ensiformis (ConA) agglutinin and weakly with Triticum vulgaris (WGA) and succinyl-WGA (S-WGA) agglutinin. The pattern of lectin binding only partially agreed with that reported in calves poisoned with Solanum fastigiatum, causing a presumed glycolipid storage disease. Apoptosis was not detected in neurons using a commercial deoxyuridine triphosphate nick-end labelling (TUNEL) method. The pathogenesis of the cerebellar lesions is unknown but the intoxication may have resulted from the inability of neurons, in particular Purkinje cells, to metabolise a plant toxin or cellular substrate.

Solanum erianthum intoxication mimicking an acute cerebrovascular disease.

We describe a case of Solanum erianthum poisoning that happened to a 75-year-old man. He ate the S erianthum that he gathered from the countryside, believing that it would be helpful in improving the numbness of his distal limbs. S erianthum is a solanaceous plant that contains a variable concentration of solanum alkaloids, causing gastrointestinal irritation, and tropane alkaloids that have anticholinergic properties producing typical and sometimes severe atropinelike symptoms. The diagnosis of S erianthum poisoning was made based on clinical symptoms and signs of anticholinergic syndrome associated with a history of vegetable meal from countryside and, moreover, on identification of the vegetable obtained from his family. Gastrointestinal decontamination and symptomatic treatment were useful in treatment of acute poisoning.

Solanaceous steroidal glycoalkaloids and poisoning by Solanum torvum, the normally edible susumber berry.

Ingestion of immature, environmentally stressed, or cultivar-specific Solanum species (particularly the potato) has been previously associated with gastrointestinal and neurological symptoms caused by solanaceous steroidal glycoalkaloids (SGAs). We report on two geographically, temporally disparate outbreaks of poisoning by susumber berries (Solanum torvum- Solanaceae) and on detection of alkaloids not present in non-toxic berries. Five family members in New York City participated in a traditional evening meal containing Jamaican susumber berries. All those consuming berries were symptomatic the following morning with varying degrees of gastrointestinal distress, dizziness, slurred speech, cranial nerve deficits, and ataxia. The most seriously afflicted patient developed hypertension, confusion, proximal upper extremity weakness, and hypercapnic respiratory failure requiring prolonged mechanical ventilation. A separate cohort of six patients in Toronto ate unripe Jamaican susumber berries. They presented 14h post-ingestion with varying degrees of diarrhea, weakness, facial paralysis, slurred speech, ataxia, early hypertension, and proximal weakness. Two patients had ventilatory decompensation; one required intubation. Poisonous berries appeared indistinguishable from non-toxic varieties. We isolated solasonine, larger amounts of solamargine, and other steroidal glycoalkaloids in the toxic berry strains. S. torvum poisoning can produce significant neurological and gastrointestinal effects which appear to be mediated by SGAs present in the berries.

Plant exposures: wilderness medicine.

This article discusses poisonous plants, the symptoms that might arise if they are ingested, and the treatments that should be administered to patients.

Acute poisoning of friesian heifers by Solanum macrocarpon L. ssp dasyphyllum.

Solanum macrocarpon (African eggplant) is a tropical plant widely cultivated as a delicious vegetable; the non-edible wild variety called Solanum macrocarpon L. ssp dasyphyllum (the wild African eggplant) bears thorns or spikes on the stem and leaves. Thirteen yearling heifers on a dairy farm in Uganda suffered acute poisoning after eating berries of S. macrocarpon L. ssp dasyphyllum. There was sudden onset of anorexia, copious salivation, severe dysentery and passage of red urine. The animals also had central nervous derangement (incordination, walking blindly) and exudative dermatitis. Four heifers died. Necropsy lesions were icterus, hemorrhages, gastroenteritis, lympadenomegally, and friable and bronze colored livers and kidneys. The rumen and reticulum contained masses of the plant seeds. This is the first report of cattle poisoning by this plant.

Lectin histochemical study of lipopigments present in the cerebellum of Solanum fastigiatum var. fastigiatum intoxicated cattle.

This study was carried out to investigate the pattern of lectin binding in the cerebellum of calves poisoned with Solanum fastigiatum var. fastigiatum. For the experimental reproduction of the illness, S. fastigiatum var. fastigiatum was collected from farms where the intoxication occurs. The dried ground plant was administered to two 1-year-old cattle by a ruminal cannula. The animals received 5 g/kg b.w. daily, 5 days a week, during periods of 107 and 140 days. After these periods the animals were bled to death. For the histological study, transverse sections of the cerebellum were used. Paraffin-embedded sections were incubated with the following biotinylated lectins with different specificity: Concanavalia ensiformis (Con-A). Glycine max (SBA). Dolichos hiflorus (DBA), Ulex europeus-I (UEA-I). Triticum vulgaris (WGA), succynyl-WGA (sWGA). Arachis hypogaea (PNA), Ricinus communis-I (RCA-I) and Bandeirea simplicifolia-I (BS-I). Avidin-biotin-peroxidase complex was applied as a detection system. Purkinje cells showed vacuolation in the pericaryon. The stored material present in the cells reacted strongly with the following lectins: Con-A. sWGA, WGA and RCA-I. An irregular affinity was observed with PNA and DBA. The lectin-binding pattern was compatible with a glycolipid storage disease.