RESUMEN
The effects of fumonisin B-glucose reaction products in swine diets was examined. Pigs were fed diets containing 528 micromol of total fumonisin B/kg (FB), 528 micromol of total FB-glucose adducts/kg (FB-G, 122 micromol of unreacted FB/kg), or 0 micromol of total FB/kg for 15 days to test the efficacy of the FB-G reaction products in detoxifying FB. Weight gain in FB pigs was lower than in FB-G or controls, which was correlated with feed intake reduction in FB pigs. Serum aspartate aminotransferase, gamma-glutamyltransferase, and total bilirubin in FB pigs were higher than in FB-G or control pigs. Serum sphinganine/shingosine ratios in FB pigs were higher than in FB-G or control pigs. Microscopic examination of tissues from FB pigs showed generalized liver necrosis and apoptosis with marked cellular pleomorphism and disorganized hepatic cords. The liver and kidneys in the FB-G group appeared to be normal. Tissues of controls were free of lesions. Results suggest that dietary FB-G products are less toxic to swine and may provide an detoxification approach in instances of widespread FB grain contamination (p < 0.05).
Asunto(s)
Fumonisinas/química , Fumonisinas/toxicidad , Glucosa/química , Porcinos , Alimentación Animal , Animales , Apoptosis , Aspartato Aminotransferasas/sangre , Bilirrubina/sangre , Dieta , Hígado/patología , Necrosis , Aumento de Peso , gamma-Glutamiltransferasa/sangreRESUMEN
Acute and subacute intraperitoneal doses of fumonisin B(1) (FB(1)) were administered to test the efficacy of the FB(1)-glucose reaction products in detoxifying FB(1) in swine. In the acute study at 11 mumol of FB(1)/kg of body weight, five of six pigs administered FB(1) and four of six pigs administered FB(1)-glucose died from acute pulmonary edema. Analysis of weight gain, serum aspartate aminotransferase and gamma-glutamyltransferase, total cholesterol, and pathological evaluation did not provide evidence of protection against FB(1) toxicity by the FB(1)-glucose reaction products. In the subacute study at 5.5 mumol of FB(1)/kg of body weight, one pig administered FB(1) died from liver damage. Analysis of serum aspartate aminotransferase, gamma-glutamyltransferase, and total bilirubin showed protection against FB(1) toxicity by the FB(1)-glucose reaction products. The levels of sphinganine and sphinganine/sphingosine ratios in serum and liver as well as pathologic findings provided definitive evidence of protection against the FB(1) toxic effects by this detoxification procedure (p < 0.05).
Asunto(s)
Fumonisinas/toxicidad , Glucosa/administración & dosificación , Enfermedades de los Porcinos/prevención & control , Animales , Enfermedad Hepática Inducida por Sustancias y Drogas , Fumonisinas/química , Glucosa/química , Hepatopatías/prevención & control , Hepatopatías/veterinaria , Edema Pulmonar/inducido químicamente , Edema Pulmonar/prevención & control , Edema Pulmonar/veterinaria , Porcinos , Enfermedades de los Porcinos/inducido químicamenteRESUMEN
The impact of a bioterrorism attack can be greatly reduced by collaboration among primary healthcare providers, laboratories, the veterinary community, public health officials, and emergency response personnel. Improved communication and coordination are essential to make this happen. As a first-line provider, the emergency physician must keep in mind the possibility of bioterrorism and alert the laboratory so that samples can be processed in the correct fashion. New and exciting developments in laboratory organization, communication, and diagnostic capabilities will ensure that all patients receive the best possible care.
Asunto(s)
Bioterrorismo , Enfermedades Transmisibles/diagnóstico , Planificación en Desastres , Medicina de Emergencia/organización & administración , Laboratorios/organización & administración , Intoxicación/diagnóstico , Enfermedades de los Animales/diagnóstico , Animales , Conducta Cooperativa , Humanos , Atención Primaria de Salud , Administración en Salud Pública , Manejo de Especímenes , Estados UnidosRESUMEN
Management of poisoning is best accomplished when an accurate diagnosis is made and enhanced by attention to five major diagnostic criteria: history, clinical signs, clinical laboratory evaluation, lesions, and chemical analysis. Used properly, all of these factors allow for a better understanding of clinical poisoning. Although not all of these are possible for individual incidents, a systematic approach to support these criteria will bring a more useful assessment of risk and an accurate diagnosis. This article covers key principles of diagnostic toxicology and provides specific suggestions for clinical, laboratory, postmortem, and chemical testing to best suggest and confirm a toxicologic diagnosis.