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Brief Communication |
Correspondence: 1Corresponding Author: Brad M DeBey, Department of Diagnostic Medicine/Pathobiology, College of Veterinary Medicine, Kansas State University, 1800 Denison Avenue, Manhattan, KS 66506, e-mail: debey{at}vet.ksu.edu
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Key Words: Cattle copper naphthenate perirenal edema renal failure sodium fluoride toxicosis
Fluoride poisoning of livestock is reported most commonly to occur via chronic exposure to environmental sources. The most frequently encountered sources of excessive fluoride in the diet are forages contaminated by industrially emitted fluoride, water with naturally high fluoride concentrations, feed supplements and mineral mixtures with excessive fluoride, and forages contaminated by soil with a high fluoride content.18 Chronic fluoride poisoning primarily manifests as osteo-fluorosis and dental fluorosis.18 Sodium fluoride in higher doses can cause acute death in cattle,2,4 although there are few reports of acute sodium fluoride toxicosis in the veterinary literature.
In May and June of 2005, a cattle herd of 83 adult cows with calves on pasture experienced deaths of cows and calves. Fourteen cattle (11 adult cows and 3 calves) died or became moribund and were euthanatized over a 4-week period. Clinical signs included depression, anorexia, ataxia, excessive salivation, watery diarrhea, and recumbency. Bright bluegreen material was observed on the muzzles of 2 of the affected cows while they were in the pasture. Serum chemistry revealed hyponatremia, hypokalemia, hypochloridemia, and hypocalcemia in 2 of 2 cows tested and azotemia in 3 of 3 cows tested (Table 1).
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Tissues and the wood preservative were analyzed for fluoride and copper.20 Tissues were prepared by ashing and fusion before being diluted with citrate buffer for fluoride analysis. Fluoride determinations were performed using an ion-specific fluoride electrode.a Quantification of fluoride was determined based upon a standard curve. As a result of sample size only 2 tissue samples were spiked at 10 ppm; recoveries were 48% and 83%. Bone controls were also analyzed and were within 88% of the historical average. Digested fluoride standards give >95% recovery with this method. Copper determinations were performed by flame atomic absorption using a Unicam 989.b Copper samples were dry-ashed, and copper was quantified against a standard curve. Control samples were spiked at 20 ppm, with recoveries of 84% and 94%. Control livers were also analyzed and were within 92% of the historical average. Kidney fluoride concentrations were elevated above an expected background concentration of 2.5 mg/kg or less (Table 2).7,16 Tissue copper concentrations were not elevated above the normal ranges of 25100 mg/kg (liver) or 4.06.0 mg/kg (kidney) (Table 2).16
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Both cows tested had hypocalcemia and hyponatremia, electrolyte disturbances that have been attributed to acute fluoride toxicosis in sheep.10 Hypocalcemia is a consequence of complexing of calcium with fluoride to form fluoroapatite.3 Hypochloridemia often parallels hyponatremia.6 Ulceration of the abomasal or omasal mucosa was present in Cows 1 and 2; this ulceration may have been directly caused by sodium fluoride.15,18,21 In the stomach, sodium fluoride dissociates into fluoride ions and combines with hydrogen ions to form hydrofluoric acid, which causes gastric mucosal lesions.13 It is possible that copper naphthenate in the wood preservative contributed to the omasal and abomasal ulceration; however, little information regarding the toxicity of copper naphthenate was found in the published literature. Tissue copper concentrations in the cows in this study were not elevated above the normal range. The half-life of copper in the liver of sheep experimentally poisoned with copper by oral dosing is estimated to be 175 ± 91 days.1 Assuming a similar half-life in cattle, and assuming that the cows in this study were probably euthanatized within a few days of exposure to the compound, there likely was negligible absorption of copper from the wood preservative compound.
The serum chemistry data and lesions in the examined animals indicate that renal failure was the major contributing factor to the morbidity and mortality in this exposure to the wood preservative. Two of the 3 cows examined had perirenal edema, a consequence of renal acute tubular necrosis that also occurs with oak poisoning in cattle.12 Sodium fluoride has been described to cause necrosis or degeneration of renal proximal tubular epithelium in experimental studies and under natural conditions.12,14,15,17,19 Other agents that cause tubular necrosis or degeneration include antimicrobials (aminoglycosides, tetracyclines, sulfonamides), heavy metals, ethylene glycol, nephrotoxic mycotoxins (ochratoxin, citrinin), and specific plant toxins (Amaranthus sp., Isotropis sp., Lantana sp.).12
In a report very similar to this report, cattle were intoxicated by a wood preservative compound containing sodium fluoride, creosote, and sodium dichromate.2 Toxicity was attributed to the fluoride in the preservative in that study. Renal tubular necrosis in that case was not described; however, the authors did not mention if kidneys were examined microscopically or if other testing evaluated whether renal failure was present.
Tissue fluoride levels were not greatly elevated in the cattle in this study, even though the wood preservative compound was found in the forestomachs at necropsy. Fluoride concentrations in the soft tissues of animals raised on normal diets are generally less than 2.5 ppm16; acute fluoride poisoning can be established if soft tissues have >20 ppm of fluoride.7 However, because ingested fluoride is rapidly excreted by the kidney,9 significant accumulation in soft tissues is not expected.5,8,11 In chronic poisoning, only small amounts of fluoride (less than 2.5 ppm) were retained in the soft tissues of cattle receiving up to 93 ppm sodium fluoride for 7.5 years; kidneys had more fluoride than other soft tissues.18 Although fluoride does pass into the placenta,18 high concentrations of fluoride were not found in tissues from the single fetus that was analyzed in this study.
Cop-R-Plastic® is a wood preservative compound that is used for treatment of wooden utility poles. It is intended to be used on wood placed beneath the soil surface. Workers treating utility poles in the pasture the autumn preceding the cattle illnesses reported accidentally left a large container of the material in the pasture. The herd was exposed to the wood preservative the following summer after being introduced to the pasture. The lethal fluoride dose for ruminants following a single oral administration is 5070 mg/kg of body weight,7 which would be equivalent to 5677 g of the Cop-R-Plastic® formulation for a 500-kg cow. It is conceivable that many other cows in this herd could potentially have been poisoned by the large amount of the wood preservative compound that was left in the pasture.
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a. Thermo Electron Corp., Orion Research Products, Beverly, MA. ![]()
b. Thermo Electron Corp., Madison, WI. ![]()
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