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Peer-reviewed veterinary case report

Horses with anemia after eating toxic plants - what to know

By Walter, Kyla M et al.·Published in Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc·2014·Department of Molecular Biosciences (Walter, United States·View original on PubMed

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Original publication title: Oxidant-induced damage to equine erythrocytes from exposure to Pistacia atlantica, Pistacia terebinthus, and Pistacia chinensis.

Species:
horse

Plain-English summary

Two horses were brought in after experiencing serious health issues, including methemoglobinemia (a condition where blood can't carry oxygen properly) and hemolytic anemia (where red blood cells are destroyed faster than they can be made). This followed the sudden deaths of five other horses in their herd, likely due to toxins from plants they had ingested. Tests showed that certain plants, specifically from the Pistacia genus, were responsible for the damage. Unfortunately, there is no effective treatment for this type of poisoning in horses, so identifying and removing the toxic plants quickly is crucial to prevent further harm.

People also search for: horse methemoglobinemia symptoms · horse hemolytic anemia treatment · toxic plants for horses

Abstract

Two horses were referred for methemoglobinemia and hemolytic anemia following 5 acute deaths in their herd from an unidentified toxin source. Horses have a greater risk than other mammalian species of developing methemoglobinemia and hemolytic anemia following ingestion of oxidizing toxins, due to deficiencies in the mechanisms that protect against oxidative damage in erythrocytes. Their susceptibility to oxidative erythrocyte damage is evident in the numerous cases of red maple (Acer rubrum) toxicosis. The suspected toxins causing A. rubrum toxicosis are tannic acid, gallic acid, and a metabolite of gallic acid, pyrogallol. These compounds can be found in a variety of plants, posing a risk to equine health. In order to quickly identify toxin sources, 2 rapid in vitro assays were developed to screen plant extracts for the ability to induce methemoglobin formation or cause hemolysis in healthy equine donor erythrocytes. The plant extract screening focused on 3 species of the genus Pistacia: P. atlantica, P. terebinthus, and P. chinensis, which were located in the horse pasture. Extracts of the seeds and leaves of each species induced methemoglobin formation and resulted in hemolysis, with seed extracts having greater potency. The in vitro assays used in the current study provide a useful diagnostic method for the rapid identification of oxidizing agents from unidentified sources. There is no effective treatment for oxidative erythrocyte damage in horses, making rapid identification and removal of the source essential for the prevention of poisoning.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/25227420/