Boletim informativo de toxicologia: acidentes tóxicos com plantas - prevenção / Toxicology Newsletter: Toxic Plant Accidents - Prevention

No Brasil, ocorrem cerca de dois mil casos de intoxicação por ano por plantas tóxicas, e há uma prevalência de casos em crianças. Em crianças, as intoxicações acontecem por causa da curiosidade, fome e fácil acesso às plantas ­ sendo que a maioria dos casos desses acidentes ocorre dentro da própria casa ­, entre outros fatores. Em adultos, os casos estão relacionados ao uso dessas plantas para a medicação, como os opiáceos, e na tentativa de abortamento, entre outras utilizações. As intoxicações por plantas tóxicas representam cerca de 1 a 2% dos casos notificados no CIATOX em Goiás , comumente em áreas urbanas, porém muitos casos não são informados, e nem o paciente se encaminha ao serviço de saúde por não ter conhecimento das possíveis gravidades que esta intoxicação pode causar, mostrando esse baixo índice devido a subnotificação

In Brazil, there are about two thousand cases of poisoning per year by toxic plants, and there is a prevalence of cases in children. In children, poisoning happens because of curiosity, hunger and easy access to plants ­ and most cases of these accidents occur inside the house ­, among other factors. In adults, cases are related to the use of these plants for medication, such as opiates, and in an attempt to abort, among other uses. Poisoning by toxic plants represents about 1 to 2% of the cases reported in the CIATOX in Goiás, commonly in urban areas, but many cases are not reported, and even the patient is not referred to the health service because he is not aware of the possible seriousness that this intoxication can cause, showing this low rate due to underreporting

Gelsemium elegans Benth: Chemical Components, Pharmacological Effects, and Toxicity Mechanisms.

Gelsemium elegans Benth (GEB), also known as heartbreak grass, is a highly poisonous plant belonging to the family Loganiaceae and genus Gelsemium that has broad application prospects in medicine. This article reviews its chemical components, pharmacological effects, toxicity mechanisms, and research progress in clinical applications in recent years. Indole alkaloids are the main active components of GEB and have a variety of pharmacological and biological functions. They have anti-tumor, anti-inflammatory, analgesic, and immunomodulation properties, with the therapeutic dose being close to the toxic dose. Application of small-dose indole alkaloids fails to work effectively, while high-dose usage is prone to poisoning, aggravating the patient's conditions. Special caution is needed, especially to observe the changes in the disease condition of the patients in clinical practice. In-depth research on the chemical components and mechanisms of GEB is essential to the development of promising lead compounds and lays the foundation for extensive clinical application and safe usage of GEB in the future.

Destoxificação e perfil nutricional da torta de mamona destoxificada por diferentes soluções alcalinas / [Detoxification and nutritional profile of the detoxified castor by different alkaline solutions]

Objetivou-se avaliar a destoxificação da torta de mamona bruta (TMB), por meio de dois produtos alcalinos em diferentes concentrações, e seus efeitos sobre a composição química, a degradabilidade in situ da MS e o fracionamento de proteínas. Utilizou-se o hidróxido de cálcio [Ca(OH)2] e o hidróxido de sódio (NaOH) em duas concentrações (60 e 90 gramas), diluídos em quatro quantidades de água (1.000; 1.500; 2.000 e 2.500mL de água por quilo de TMB). Observou-se que, das diferentes concentrações utilizadas, somente a utilização de 90 e 60 gramas de Ca(OH)2 e NaOH, respectivamente, conseguiu destoxificar 100% da TMB, ambas diluídas em 2.000mL de água. Por outro lado, ao avaliar o tempo mínimo de contato dos reagentes com a TMB para uma máxima destoxificação, observou-se que três horas de contato é o tempo necessário para os reagentes diminuírem em 100% as proteínas citotóxicas, além de não deixar atividade hemaglutinante nesse material. A destoxificação com o NaOH proporcionou maior degradação das proteínas solúveis e da matéria seca, favorecendo a disponibilização do nitrogênio não proteico, estando sua aplicação em escala industrial na dependência de estudos sobre viabilidade operacional e econômica.(AU)

This study aimed to evaluate the detoxification of crude castor (DCC) through two alkaline products in different concentrations and their effects on the chemical composition, in situ degradability of DM and the fractionation of proteins. We used the calcium hydroxide [Ca(OH)2] and sodium hydroxide (NaOH) in two concentrations (60 and 90 grams) diluted in 4 quantities of water (1,000; 1,500; 2,000 and 2,500ml of water per kilo of DCC). It was observed that in the different concentrations used, only the use of 90 and 60 grams of Ca(OH)2 and NaOH, respectively managed to detoxify 100% of the DCC, both diluted in 2,000ml of water. On the other hand, when assessing the minimum time of contact of the reagents with the DCC for maximum detoxification, it was observed that with three hours of contact is the time required for the reagents decrease in 100% of the cytotoxic proteins, in addition to not leave haemagglutinating activity in this material. The detoxification with NaOH provided greater degradation of soluble proteins and degradation of dry matter, favoring the provision of non-protein nitrogen, while its application on an industrial scale is in the dependence of studies on operational feasibility and cost.(AU)

Poisoning by Brachiaria spp. in various lamb breeds at increasing levels of supplementation during growth / Intoxicação por Brachiaria spp. em várias raças de cordeiros com incremento nos níveis de suplementação durante o crescimento

The study evaluate the frequency of poisoning by Brachiaria spp. at the rearing, growth and termination stages in various lamb breeds at increasing supplementation levels. Forty-five lambs were used in the growth phase in pastures of Brachiaria spp. with a history of having induced poisoning. The lambs were distributed in nutritional treatments: lambs receiving mineral supplementation (MS), energy/protein supplementation (EPS) at 0.8% of body weight (bw), EPS at 1.6% bw and EPS at 2.4% bw. The lambs were allotted two flocks (F1 and F2) of 21 and 24 lambs each. Clinical signs of poisoning were observed in all treatments. All MS lambs died. The frequency of poisoning were highest in the 0.8% EPS and 1.6% EPS treatments. All lambs in the 2.4% EPS treatment recovered. F1 lambs had a higher frequency of poisoning than F2 lambs regardless of nutritional treatment. Morbidity rates for the F1 and F2 lambs were 52.3 and 16.7%, respectively. Supplementation was not sufficient to decrease the frequency of poisoning in lambs at the termination stage, which was dependent on the genetic origin of the lambs. EPS of 2.4% bw treatment, was an efficient nutritional strategy to minimize the effects of poisoning in lambs fed on Brachiaria spp.(AU)

O objetivo deste estudo foi avaliar a frequência da intoxicação por Brachiaria spp. nas fases de recria, crescimento e terminação em várias raças de cordeiros em níveis crescentes de suplementação. Quarenta e cinco cordeiros foram utilizados na fase de crescimento em pastagens de Brachiaria spp. com história de intoxicação, distribuídos em diferents tratamentos nutricionais: cordeiros recebendo suplementação mineral (SM), suplementação energética/protéica (SEP) a 0,8% do peso vivo (pv), SEP a 1,6% pv e SEP a 2,4% pv. Vinte e um cordeiros vieram do lote F1 e 24 cordeiros foram do lote F2. Sinais clínicos de intoxicação foram observados em todos os tratamentos. Todos os cordeiros com MS morreram. As frequências de intoxicação foram maiores nos tratamentos com 0,8% e 1,6% de SEP. Todos os cordeiros no tratamento com 2,4% de SEP se recuperaram. Cordeiros F1 apresentaram maior frequência de intoxicação que os cordeiros F2, independentemente do tratamento nutricional. As taxas de morbidade para os cordeiros F1 e F2 foram de 52,3 e 16,7%, respectivamente. A suplementação não foi suficiente para diminuir a freqüência de intoxicação em cordeiros na fase de terminação, dependente da origem genética dos cordeiros. O SEP de 2,4% pv, no entanto, foi eficiente para minimizar os efeitos da intoxicação em cordeiros alimentados com Brachiaria spp.(AU)

[An unusual cause of alopecia on the scalp]. / Alopécies du scalp d'étiologies atypiques.

Alopecia is defined as a congenital or temporary absence of hair or even as total or partial hair loss. Clinical manifestation is more marked on the scalp and it is more common in men than in women. Nevertheless, a set of extrinsic factors may be responsible for scarring alopecia of the scalp, including tumors, infections or even loss of substance secondary to thermal burns. On the basis of these illustrations, we here report three cases of patients with scarring alopecia of the scalp secondary to so-called "atypical" causes. The first case (A) is that of a 6-year-old child presenting with alopecia on the right parietal scalp. In-depth interview with his mother allowed to discover the cause of the loss of substance: cutaneous necrosis following laborious delivery by vacuum extraction. The second illustration (B) shows the case of a 40-year-old woman seen in consultation for cutaneous necrosis of the occipital scalp secondary to chemical burn. The patient reported the application of a chemical product in order to fix hairstyle. Finally, the third case (C) is that of a 27-year old patient followed-up for bilateral frontoparietal alopecia secondary to the application of poisonous plant having, according to her beliefs, nourishing virtues for the hair.

Plantas cardiotóxicas para ruminantes no Brasil / Cardiotoxic plants affecting ruminants in Brazil

Esta revisão atualiza informações sobre plantas cardiotóxicas que afetam os ruminantes no Brasil. Atualmente, sabe-se que existem pelo menos 131 plantas tóxicas pertencentes a 79 gêneros. Vinte e cinco espécies afetam o funcionamento do coração. As plantas que contêm monofluoroacetato de sódio (Palicourea spp., Psychotria hoffmannseggiana, Amorimia spp., Niedenzuella spp., Tanaecium bilabiatum e Fridericia elegans) causam numerosos surtos de intoxicação, principalmente em bovinos, mas búfalos, ovinos e caprinos são ocasionalmente afetados. A intoxicação por Palicourea marcgravii continua a ser a mais importante devido à ampla distribuição desta planta no Brasil. Novas espécies do gênero Palicourea contendo monofluoracetato de sódio, como Palicourea amapaensis, Palicourea longiflora, Palicourea barraensis, Palicourea macarthurorum, Palicourea nigricans, Palicourea vacillans e Palicourea aff. juruana foram descritas na região amazônica. Na região nordeste, a planta tóxica mais importante para bovinos é Amorimia septentrionalis. No Centro-Oeste, surtos de intoxicação por Niedenzuella stannea foram relatados em bovinos na região do Araguaia e a doença precisa ser melhor investigada quanto à sua ocorrência e importância. Tetrapterys multiglandulosa e Tetrapterys acutifolia, duas plantas que causam fibrose cardíaca, também contêm monofluoracetato de sódio e foram reclassificadas para o gênero Niedenzuella. Essas duas espécies e Ateleia glazioveana, outra planta que causa fibrose cardíaca, continuam sendo importantes no Sul e Sudeste do Brasil. Outras espécies menos importantes e que ocasionamente provocam surtos acidentais de intoxicação são as plantas que contém glicosídeos cardiotóxicos, tais como Nerium oleander e Kalanchoe blossfeldiana. Recentemente, várias metodologias experimentais foram empregadas para evitar intoxicações por plantas que contêm monofluoroacetato de sódio. Estas metodologias incluem a indução de aversão condicionada utilizando cloreto de lítio, a utilização de doses repetidas não tóxicas de folhas para induzir resistência, o uso de acetamida para prevenir as intoxicações e a inoculação intraruminal de bactérias degradantes de monofluoroacetato de sódio.(AU)

This review updates information about cardiotoxic plants affecting ruminants in Brazil. Currently it is known that there are at least 131 toxic plants belonging to 79 genera. Twenty five species affect the heart function. Plants that contain sodium monofluoroacetate (Palicourea spp., Psychotria hoffmannseggiana, Amorimia spp., Niedenzuella spp., Tanaecium bilabiatum and Fridericia elegans) cause numerous outbreaks of poisoning, mainly in cattle, but buffaloes, sheep and goats are occasionally affected. Poisoning by Palicourea marcgravii remains the most important due to the wide distribution of this plant in Brazil. New species of the genus Palicourea containing sodium monofluoracetate, such as Palicourea amapaensis, Palicourea longiflora, Palicourea barraensis, Palicourea macarthurorum, Palicourea nigricans, Palicourea vacillans and Palicourea aff. juruana were described in the amazon region. In the northeast region, the most important toxic plant for cattle is Amorimia septentrionalis. In the midwest, outbreaks of Niedenzuella stannea poisoning have been reported in cattle in the Araguaia region and the disease needs to be better investigated for its occurrence and importance. Tetrapterys multiglandulosa and Tetrapterys acutifolia, two plants causing cardiac fibrosis also contain sodium monofluoroacetate and were reclassified to the genus Niedenzuella. These two plants and Ateleia glazioveana, other plant that causes cardiac fibrosis continues to be important in the southeastern and south of Brazil. Other less important are the plants that contain cardiotoxic glycosides, such as Nerium oleander and Kalanchoe blossfeldiana, in wich poisonings are generally accidental. Recently, several experimental methodologies were successfully employed to avoid poisonings by sodium monofluoroacetate containing plants. These methodologies include the induction of food avertion using lithium chloride, the ministration of repeatedly non-toxic doses of leaves to induce resistance, the use of acetamide to prevent poisonings and the intraruminal inoculation of sodium monofluoroacetate degrading bacteria.(AU)

Fotossensibilização primária em bovinos leiteiros causada por Froelichia humboldtiana / Primary photosensitization in dairy cattle caused by Froelichia humboldtiana

O presente trabalho foi conduzido com o objetivo de relatar um surto de fotossensibilização causado por Froelichia humboldtiana em bovinos leiteiros no Estado do Rio Grande do Norte, Brasil. Foram examinados animais de uma propriedade rural que apresentavam sintomatologia compatível com fotodermatite. Procedeu-se a coleta de amostras de sangue periférico de cinco bovinos para análise das atividades das enzimas hepáticas gamaglutamiltransferase e aspartatoaminotransferase, além da concentração de bilirrubina total, direta e indireta. Das áreas de pele com lesões de dois animais foram realizadas biópsias. Constatou-se que 15 animais de um rebanho composto por 40 animais apresentaram fotossemsibilização. Os animais tinham histórico de apresentar lesões de fotodermatite aproximadamente 10 dias após pastarem em áreas invadidas por F. humboldtiana. Ao exame clínico dos bovinos leiteiros notou-se que inicialmente apresentavam prurido e hiperemia nas áreas de pele despigmentadas do dorso e úbere, também havia alterações do comportamento. Posteriormente, as áreas hiperêmicas se apresentavam com edema que evoluíam para dermatite ulcerativa, necrotizante e exudativa, com perda de extensas áreas da epiderme. As úlceras eram mais graves nos quatro bovinos que apresentavam automutilação por lambedura. Esses quatro animais foram retirados do pasto e abrigados em local sombreado. Uma semana após, o prurido regrediu e as fissuras da pele passaram a cicatrizar. Porém, as lesões reapareceram logo após os bovinos serem reintroduzidas no pasto infestado por F. humbolditiana. Percebeu-se ainda queda na produção leiteira (redução de 50-60%) das vacas após a instalação de fotodermatite. Porém, os bezerros que ainda eram lactantes e ingeriam o leite nas vacas acometidas por fotossensibilização, não apresentaram sinais de fotodermatite. A histopatologia de biópsias de pele revelou inflamação na derme superficial constituída por mastócitos, linfócitos, e alguns plasmócitos. Na epiderme haviam extensas úlceras, recobertas por crostas, associada a infiltrado neutrofílico. As atividades séricas de AST, GGT e as concentrações de bilirrubina estavam dentro dos valores de referência normais para a espécie bovina. O diagnóstico de fotossensibilização primária associada à ingestão de F. humboldtiana foi baseado na epidemiologia, sinais clínicos, bioquímica sérica, biópsia de pele e reocorrência das lesões após os animais serem reintroduzidos no pasto invadido pela planta. Conclui-se que a F. humboldtiana é uma importante causa de fotossensibilização primária em bovinos leiteiros no semiárido brasileiro e que sua toxina provavelmente não é excretada pelo leite bovino.(AU)

The present study was conducted with the objective to report an outbreak of photosensitization caused by Froelichia humboldtiana in dairy cattle in the State of Rio Grande do Norte, Brazil. Animals from a rural property with symptoms compatible with photodermatitis were examined. Peripheral blood samples from five cattle were collected for the analysis of the activities of hepatic enzymes gammaglutamyltransferase and aspartate aminotransferase, in addition were also analysed the concentration of total, direct and indirect bilirubin. From the areas of skin with lesions of two animals, biopsies were performed. It was verified that 15 animals from a herd composed by 40 animals presented photosensitization. The animals had a history of photodermatitis lesions approximately 10 days after grazing in areas invaded by F. humboldtiana. Clinical examination of dairy cattle showed that they initially had pruritus and hyperemia in the depigmented areas of the dorsum and udder, and there were also behavioral changes. Subsequently, the hyperemic areas presented edema that evolved to ulcerative, necrotizing and exudative dermatitis, with loss of extensive areas of the epidermis. The ulcers were more severe in four bovines that had self-mutilation by licking. These four animals were removed from the pasture and sheltered in a shady location. A week later, the pruritus regressed and the fissures of the skin began to heal. However, the lesions reappeared after the cattle were reintroduced in the grass infested by F. humbolditiana. There was also a decrease in milk production (reduction of 50-60%) of cows after the installation of photodermatitis. However, calves that were still lactating and ingested the milk in photosensitized cows, showed no signs of photodermatitis. Histopathology of skin biopsies revealed inflammation in the superficial dermis consisting of mast cells, lymphocytes, and some plasma cells. In the epidermis there were extensive ulcers, covered by crusts, associated with neutrophilic infiltrate. Serum activities of AST, GGT and bilirubin concentrations were within normal reference values for the bovine species. The diagnosis of primary photosensitization associated with F. humboldtiana ingestion was based on epidemiology, clinical signs, serum biochemistry, skin biopsy and lesion reoccurrence after the animals were reintroduced in the pasture invaded by the plant. It is concluded that F. humboldtiana is an important cause of primary photosensitization in dairy cattle in the Brazilian semi-arid region and that its toxin is probably not excreted by bovine milk.(AU)

Plantas tóxicas para ruminantes e equídeos do estado de Sergipe / Toxic plants for ruminants and equidae in the state of Sergipe, Brazil

Em um levantamento feito nos anos de 2015 e 2016 no estado de Sergipe, com o objetivo de conhecer as plantas tóxicas para ruminantes e equídeos, foram visitadas propriedades rurais em 16 municípios, englobando as mesorregiões do litoral, agreste e sertão. Para isso foram realizadas entrevistas a 32 produtores e 10 a médicos veterinários da região. De acordo com o levantamento, Amorimia spp., Crotalaria retusa, Ipomoea asarifolia, Palicourea aeneofusca e Poiretia punctata são responsáveis por mortes de animais gerando prejuízos consideráveis aos produtores. Surtos esporádicos de intoxicações por Ipomoea carnea subsp. fistulosa, Mimosa tenuiflora, Pannisetum purpureum e Manihot esculenta também foram relatados. Alguns produtores relataram surtos isolados de intoxicações por Ziziphus joazeiro e citrus sp, plantas não conhecidas anteriormente como tóxicas.(AU)

In a survey on toxic plants for ruminants and equidae conducted in 2015 and 2016 in the state of Sergipe, farms from16 municipalities of different microregions (litoral, agreste and sertão) were visited. Thirty two farmers and 10 veterinarians were interviewed about the occurrence of known toxic plants in the state of Sergipe and poisoning by plants previously unknown. According to the survey, Amorimia spp., Crotalaria retusa, Ipomoea asarifolia, Palicourea aeneofusca and Poiretia punctata are important causes of death on livestock in the region. Sporadic poisonings by Ipomoea carnea subsp. fistulosa, Mimosa tenuiflora, Pannisetum purpureum and Manihot esculenta were also registered. Some farmers reported poisoning by Ziziphus joazeiro and Citrus spp., which had not been reported previously as toxic.(AU)

Toxic effect of common poisonous plants of district Bannu, Khyber Pakhtunkhwa, Pakistan.

The present paper was a part of Ph.D research work, conducted during the year 2014, in which 87 poisonous plants belonging to 54 genera, were collected, documented and preserved in the herbarium of Bannu, Department of Botany UST, Bannu Khyber Pakhtunkwa Pakistan. The plants were identified botanically, arranged alphabetically along with their Latin name, family name, common name, poisonous parts, toxicity, affects, toxin and their effects. Aim of the study was to induce awareness in the local people of district Bannu about the poisonous effects of the commonly used plants. Data about poisonous effect were collected from the local experienced and mostly old age people through questionnaire. Some information were collected from a number of veterinary texts and literature. The most important plants genera studied in the area were Brassica 6 species (11.11%), Lathyrus 5 spp (9.26%), Astragalus, Euphorbia and Prunus were with 4 spp (7.40%). Datura, Jatropha, Ranunculus, Solanum and Sorghum were with 3 spp (5.56%) while Allium, Amaranthus, Chenopodium, Melilotus and Taxus were with 2 spp (3.70%). These 15 genera contribute 48 species (55.17 %) while the remaining 39 genera have single species each and contribute 44.83% to the total poisonous flora of the research area. Other important poisonous plants were Anagallis arvensis L., Cannabis sativa, Datura stramonium L., D. metel L., Euphorbia species, Heliotropium europaeum, Ipomoea tricolor, Jatropha curcas, Lolium temulentum L., Malus domestica, Mangifera indica L., Medicago sativa L., Melilotus alba Desr., M. officinalis (L.) Lam., Mirabilis jalapa L., Narcissus tazetta, Nicotiana tabacum L., Sorghum halepense (L) Pers., and Xanthium strumarium. It was concluded that the local population had poor knowledge about the poisonous effect of the plants and the present research work was anticipated for use by health care professionals, veterinarians, farmers, homeowners, as well as botanically curious individuals.

Intoxicação experimental por Niedenzuella stannea (Malpighiaceae) em ovinos / Experimental poisoning by Niedenzuella stannea (Malpighiaceae) in sheep

Niedenzuella stannea é uma planta que contém monofluoracetato de sódio e é incriminada como causa de morte súbita em bovinos na Região Sul do Estado de Mato Grosso. Este estudo descreve a toxidez e achados clínicos e patológicos da intoxicação experimental por N. stannea em ovinos. Foram utilizados no experimento, frutos, folhas maduras e folhas jovens de N. stannea coletadas em propriedades as margens de afluentes das bacias hidrográficas do Rio Araguaia onde havia histórico de morte súbita em bovinos. Folhas maduras em doses entre 10 e 40g/kg e frutos na dose de 10 g/kg não causaram alterações clínicas. Alterações clínicas foram observadas em ovinos que receberam a partir de 5g/kg de folhas jovens em dose única e a morte ocorreu nos que receberam a partir de 30g/kg. A toxicidade na dose de 30g/kg se manteve após a secagem da planta. Os principais sinais clínicos foram anorexia, apatia, dispneia, arritmia e taquicardia em evolução clínica que variou de 16 às 20h. Notou-se em uma fase terminal hiperaguda, com evolução de 13 a 20 min., relutância ao movimento, micção frequente, jugular ingurgitada, pulso venoso evidente, tremor muscular, decúbito esternal e decúbito lateral e morte. Na necropsia os principais achados foram ingurgitamento de grandes veias, das aurículas do coração e edema pulmonar. Microscopicamente a principal alteração ocorreu no rim e caracterizou-se por degeneração hidrópico-vacuolar no citoplasma de epitélio de túbulos contorcidos distais. Conclui-se que N. stannea na fase de brotação é tóxica para ovinos e que a intoxicação por esta planta deve ser incluída no diagnóstico diferencial das doenças com curso clínico hiperagudo ou morte súbita em ovinos em regiões onde a planta existe.(AU)

Niedenzuella stannea a sodium monofluoroacetate-containing plant cause sudden death in cattle in southern Mato Grosso State. This investigation describes the toxicity and clinical and pathological findings of experimental poisoning by N. stannea in sheep. Fruits, mature leaves and young leaves of the plant collected in properties near the margins of the Araguaia river basins with history of sudden death in cattle were used in the experiment. No clinical signs were observed in sheep ingesting doses between 10 and 40g/kg of mature leaves and 10g/kg of fruits. The animals had shown clinical signs when received young leaves of the plant orally in a single dose of 5, 10, 20g/kg, and death occurred in sheep receiving 30g/kg. The plant at the dose of 30g/kg of fresh leaves maintained its toxicity after being dried. The main clinical signs observed were anorexia, lethargy, dyspnea, tachycardia, and arrhythmia with a clinical course ranging 16-20 hours after the onset of clinical signs. In an hyperacute terminal phase the animals showed reluctance to move, frequent urination, engorged jugular, evident venous pulse, muscle tremor, sternal recumbence, lateral decubitus, and death. At necropsy engorgement of the atrium and large veins of the heart, and pulmonary edema were observed. Microscopically, the kidney had hydropic-vacuolar degeneration in the cytoplasm of the epithelial cells of the distal convoluted tubules. It is concluded that young leaves of N. stannea can cause intoxication in sheep and should be considered in the differential diagnosis of acute diseases or sudden death in sheep in regions where the plant exist.(AU)

Intoxicação natural por Senecio brasiliensis em equinos / Natural poisoning by Senecio brasiliensis in horses

Intoxicações por plantas do gênero Senecio representam uma importante causa de morte em animais de produção, sendo Senecio brasiliensis a espécie mais envolvida nos casos de intoxicação espontânea. Nesse trabalho, são descritos os aspectos epidemiológicos, clínicos e anatomopatológicos de um surto de intoxicação natural por Senecio brasiliensis em equinos. Dois equinos, de um total de dezoito, foram afetados. Os casos ocorreram em uma propriedade rural no município de São Martinho da Serra, Rio Grande do Sul, Brasil. Grande quantidade de exemplares de Senecio brasiliensis em estágio de brotação foi encontrada na área onde os equinos estavam. Os animais eram da raça Crioula, sendo uma égua com quatro anos e um potro com cinco meses. A égua apresentou evolução aguda da doença com duração de três dias e o potro evolução crônica de dois meses. As principais manifestações clínicas observadas em ambos os equinos incluíam apatia, anorexia, emagrecimento, desidratação e sinais neurológicos. Além disso, havia moderado edema subcutâneo na região ventral do abdômen e marcada icterícia nas mucosas ocular, oral e vulvar da égua e palidez das mucosas no potro. Na avaliação bioquímica do potro, havia acentuado aumento da atividade sérica da gamaglutamil transferase (119 U/L), aumento da fosfatase alcalina (434 U/L) e hipoalbuminemia (2,1g/dL). No hemograma do mesmo, observou-se leve anemia normocítica e normocrômica (30% de hematócrito; VCM: 39,5 fL; HCM: 15,3pg). As alterações presentes em ambas as necropsias foram observadas principalmente no fígado, que estava difusamente aumentado de tamanho, escuro e firme. Na superfície de corte, observaram-se acentuação do padrão lobular e hemorragia. Histologicamente, no fígado dos equinos, havia graus variados de necrose coagulativa, hemorragia, fibrose, proliferação de ductos biliares, hepatomegalocitose e bilestase. Nas diferentes seções analisadas do encéfalo, havia alterações astrocitárias restritas à substância cinzenta, predominantemente, no córtex telencefálico. Os astrócitos degenerados eram similares aos astrócitos de Alzheimer tipo II. O diagnóstico da intoxicação nesses casos foi baseado na epidemiologia, no quadro clínico, nas lesões de necropsia e nos achados histopatológicos. Cabe ressaltar que a necrose de coagulação e a discreta fibrose e proliferação de ductos biliares observados na égua, constituiu uma apresentação subaguda da intoxicação, enquanto que a fibrose, mais predominante no potro, caracterizou uma hepatopatia crônica.(AU)

Poisoning due to plants of the genus Senecio is considered an important cause of death in livestock. Senecio brasiliensis is the most common species involved in spontaneous cases. This paper describes the epidemiological, clinical and pathological aspects of a natural outbreak of intoxication with Senecio brasiliensis affecting two out of eighteen horses in a farm. The cases occurred in the municipality of Sao Martinho da Serra, Rio Grande do Sul State, Southern Brazil. A large amount of Senecio brasiliensis in its sprouting stage was found in the fields where the horses used to be kept. A four-year-old, Crioulo mare and a five-month-old, male, Crioulo foal were affected. The clinical course was acute in the mare, comprising three days and chronic in the foal, lasting for two months. The main clinical signs in both animals included apathy, anorexia, weight loss, dehydration and neurological signs. Moreover, subcutaneous edema was noted in the ventral abdomen and the mucous membranes were icteric in the mare and pale in the foal. The serum biochemistry in the foal showed hypoalbuminemia (2.1g/dL), increased activity of the serum alkaline phosphatase (434 U/L) and gamma glutamyl transferase (119 U/L). In the hemogram, a mild normocytic normochromic anemia was noted in the foal (Hct: 30%; MCV: 39.5 fL; MCH: 15.3pg). Necropsy findings observed in both horses included an enlarged, dark red and firm liver with extensive areas of hemorrhage and enhanced lobular pattern on cut surface. Histologically, the liver showed variable degrees of fibrosis, coagulative necrosis, biliary ducts hyperplasia, megalocytosis and cholestasis. In the brain, the astrocytes in the cerebrum were degenerated and similar to Alzheimer type II astrocytes. The diagnosis in this outbreak was established based on the epidemiology, clinical picture, gross and histologic findings. It is noteworthy that the coagulative necrosis, minimal fibrosis, and biliary duct hyperplasia observed in the mare are characteristic of a subacute presentation. On the other hand, the fibrosis that was more prominent in the foal characterizes a chronic hepatopathy.(AU)

Spontaneous poisoning by Prosopis juliflora (Leguminosae) in sheep / Intoxicação espontânea por Prosopis juliflora (Leguminosae) em ovinos

The aim of this paper is to describe the first report of spontaneous poisoning by Prosopis juliflora in sheep. From flock of 500 sheep at risk, four adult male sheep were affected. One died spontaneously and three other were examined, euthanized and necropsied. Neurologic examination focused particularly on motor and sensory-cranial nerve function, complete blood counts, serum biochemistry and urinalysis were done. The evolution of the disease was chronic and to present signs of poisoning, sheep had to ingest a diet containing at least 80% of P. juliflora pods during 21 months. The biochemistry revealed a substantial increase in creatine phosphokinase levels. Clinical signs included drooling of saliva, dropped jaw, tongue protrusion and loss of food from the mouth. Gross and histological lesions were similar to those previously reported in cattle and goats. Sheep are more resistant to poisoning by P. juliflora considering that it took 21 months of pod consumption to show clinical signs. There is no specific treatment for P. juliflora poisoning in ruminants.(AU)

O objetivo deste trabalho é descrever o primeiro caso de intoxicação espontânea por Prosopis juliflora em ovinos. De um total de 500 ovinos sob risco, quatro ovinos machos adultos foram afetados. Um ovino morreu espontaneamente e os outros foram examinados, eutanasiados e necropsiados. Realizaram-se exames clínicos direcionados particularmente para funções de nervos motores e sensoriais-craniais. Avaliou-se hemograma, perfil bioquímico sérico e urinálise. A evolução da doença foi crônica e para apresentar sinais de intoxicação os ovinos tiveram que ingerir uma dieta contendo 80% das vagens de P. Juliflora durante 21 meses. Os níveis de creatinofosfoquinase estavam significativamente elevados. Os sinais clínicos consistiram em sialorreia, mandíbula pendulosa, protusão da língua e perda de alimento pela boca. As lesões macroscópicas e microscópicas foram similares àquelas reportadas previamente em bovinos e caprinos. Ovinos são mais resistentes à intoxicação por P. Juliflora, tendo em vista que foi necessário 21 meses de consumo das vagens para que os ovinos apresentassem sinais clínicos. Não há tratamento específico para a intoxicação por P. Juliflora em ruminantes.(AU)

Molecular and cytogenetic assessment of Dipterygium glaucum genotoxicity.

The aim of the present study is to assess the genotoxicity of Dipterygium glaucum grows widely in Saudi Arabia desert to produce safety herbal products. This work is considered the first and pioneer report so far due to the lack and poor evaluated reports of the plant species for their mutagensity, genotoxicity and cytogenetics effects. Cytogenetic effects of D. glaucum on mitotic in roots of Vicia faba showed reduction in mitotic activity using three extracts; water, ethanol and ethyl acetate. Chromosomal abnormalities were recorded that included stickiness of chromosomes, chromatin bridge, fragments, lagging chromosome and micronuclei. Protein bands and RAPD analyses of V. faba treated with three D. glaucum extracts revealed some newly induced proteins and DNA fragments and other disappeared. Chemical constitution of the plant species should be identified with their biological activities against human and animal cells like HeLa cancer cell line. We are recommending using additional genotoxicity tests and other toxicity tests on animal culture with different concentrations and also utilizing several drought and heat tolerant genes of the plant species in gene cloning to develop and improve other economical crop plants instead of using the species as oral herbal remedy.

European medicinal and edible plants associated with subacute and chronic toxicity part I: Plants with carcinogenic, teratogenic and endocrine-disrupting effects.

In recent decades, the use of herbal medicines and food products has been widely embraced in many developed countries. These products are generally highly accepted by consumers who often believe that "natural" equals "safe". This is, however, an oversimplification because several botanicals have been found to contain toxic compounds in concentrations harmful to human health. Acutely toxic plants are in most cases already recognised as dangerous as a result of their traditional use, but plants with subacute and chronic toxicity are difficult or even impossible to detect by traditional use or by clinical research studies. In this review, we systematically address major issues including the carcinogenicity, teratogenicity and endocrine-disrupting effects associated with the use of herbal preparations with a strong focus on plant species that either grow natively or are cultivated in Europe. The basic information regarding the molecular mechanisms of the individual subtypes of plant-induced non-acute toxicity is given, which is followed by a discussion of the pathophysiological and clinical characteristics. We describe the genotoxic and carcinogenic effects of alkenylbenzenes, pyrrolizidine alkaloids and bracken fern ptaquiloside, the teratogenicity issues regarding anthraquinone glycosides and specific alkaloids, and discuss the human health concerns regarding the phytoestrogens and licorice consumption in detail.

Toxicidade de espécies vegetais / Toxicity of plant species

RESUMO As plantas produzem uma grande variedade de metabólitos secundários que frequentemente são relacionados a mecanismos de proteção da planta contra predadores e patógenos. As espécies tóxicas são aquelas capazes de produzirem compostos que podem causar alterações metabólicas prejudiciais ao homem e aos animais. A toxicidade apresentada por uma espécie vegetal pode estar relacionada a fatores associados ao indivíduo, à planta, ao modo de exposição e a questões ambientais. A intoxicação, aguda ou crônica, causada por plantas é difícil de ser diagnosticada assim como a associação entre os sintomas e o consumo e/ou contato com algumas espécies é difícil de ser estabelecida. No âmbito da saúde pública, as intoxicações causadas por plantas possuem impacto expressivo. No Brasil foram registrados 1026 casos em 2012, sendo que a maior parte deles ocorreu com crianças de 0 a 4 anos, de acordo com os dados do SINITOX. O objetivo deste trabalho foi realizar um levantamento bibliográfico de espécies vegetais, brasileiras e exóticas aclimatadas, citadas como tóxicas apesar de serem utilizadas com fins ornamentais e medicinais.

ABSTRACT Plants produce a wide variety of secondary metabolites, which are frequently related to a plant’s protective mechanism against predators and pathogens. Toxic species are those capable of producing compounds that can cause metabolic changes harmful to humans and animals. The toxicity of plant species can be associated with aspects related to the individual, the plant, the manner of exposure, and to environmental issues. Acute or chronic intoxication caused by plants is difficult to diagnose and the association between the symptoms and the consumption of and/or contact with plants is hard to establish. In the public health sector, intoxications caused by plants have a wide impact. In Brazil, 1,026 cases were registered in 2012, most of which occurred with children between the ages of 0 to 4 years, according to data reported by SINITOX. The purpose of this study was to perform a bibliographic survey of Brazilian or acclimatized exotic plant species, which have been reported as toxic even though they are used for ornamental or medicinal purposes.

Therapeutic values, chemical constituents and toxicity of Taiwanese Dysosma pleiantha--a review.

Dysosma pleiantha (Hance) Woodson also called as Bajiaolian belongs to the family Berberidaceae, is widely used in Taiwan as traditional Chinese herbal medicine for more than thousands of years. It is usually recommended by various traditional Chinese medical doctors and herbal pharmacies for general remedies including postpartum recovery, treatment of weakness, neck mass, acne, hepatoma, lumbago, snakebite, tumor growth and dysmenorrhea. In the textbooks of traditional Chinese medicine, there is limited information about the toxicity of Bajiaolian. Podophyllotoxin, a lignan is the main toxic ingredient of Bajiaolian rhizome. Therefore, Bajiaolian is documented as the fifth highest cause of poisoning among the herbal medicine in Taiwan. Since the therapeutic and toxic doses are very close, Bajiaolian poisoning cases are frequently reported in Taiwan. Moreover, Dysosma poisoning cases are difficult to diagnosis because physicians are unfamiliar with this medicine's multiple clinical presentations in different stages of intoxication. Therefore, the objective of this review is to represent the collective information available in literatures regarding D. pleiantha, a cytotoxic lignan containing medicinal plant. Specifically, the literatures have been reviewed for articles pertaining to chemical constituents, properties, therapeutical benefits, toxicity, poisoning symptoms, toxic as well as therapeutic dose and medical management.

Sinais clínicos e patologia da intoxicação crônica experimental de caprinos por palicourea marcgravii / Clinical signs and pathology of chronic experimental poisoning by palicourea marcgravii in goats

Palicourea marcgravii é considerada a principal planta tóxica de interesse pecuário no Brasil, porém, até o momento, é conhecido apenas o quadro agudo da intoxicação. Esse estudo avaliou as alterações clínico-patológicas de 10 caprinos cronicamente intoxicados por P. marcgravii. Os animais receberam, diariamente, 0,2g/kg de peso corporal da planta fresca por 6 a 38 dias. Os caprinos apresentaram como principais sinais clínicos anorexia, apatia, taquicardia, arritmia, pulso venoso jugular positivo e decúbito. Nas necropsias, os achados macroscópicos foram hidropericárdio, palidez dos rins e do miocárdio, atrofia gelatinosa da gordura cardíaca, evidenciação do padrão lobular hepático e edema pulmonar. Os principais achados microscópicos foram tumefação e vacuolização de cardiomiócitos, necrose de fibras cardíacas e infiltrado inflamatório mononuclear no miocárdio. Nos rins foi encontrada marcante degeneração hidrópico-vacuolar difusa. Os achados demonstraram nos caprinos cronicamente intoxicados, quadro clínico-patológico com características distintas do observado na forma aguda da intoxicação por P. marcgravii. Essas observações comprovam o risco para caprinos da ingestão da planta, mesmo que em pequenas doses, resultando no surgimento de quadro clínico e graves lesões ainda pouco conhecidas, e que poderiam ser confundidas com outras enfermidades.

Palicourea marcgravii is considered the main toxic plant for livestock in Brazil, however, only the acute intoxication has been reported. This study reports the clinical and pathological changes of 10 goats chronically intoxicated by P. marcgravii. The animals received, daily, 0.2g/kg body weight of the fresh plant during 6 to 38 days. The main clinical signs were anorexia, lethargy, tachycardia, arrhythmia, positive jugular venous pulse and recumbency. At necropsies, the lesions were pale kidneys and myocardium, serous atrophy of cardiac fat, evident hepatic lobular pattern and pulmonary edema. The main microscopic findings were swelling and vacuolization of cardiomyocytes, cardiac necrosis and inflammatory mononuclear infiltrate of the myocardium. The kidneys showed diffuse vacuolar hydropic degeneration of the epithelium. These findings demonstrated that goats chronically intoxicated by P. marcgravii show distinct clinicopathologic features than those observed in the acute form of the poisoning. It is suggested that goats may be spontaneously become intoxicated by the ingestion of small repeated doses of the plant and that the poisoning can be confused with other diseases.

Resistência à intoxicação por amorimia septentrionalis em caprinos, induzida pela inoculação ruminal das bactérias pigmentiphaga kullae e ancylobacter dichloromethanicus / Resistance to poisoning by amorimia septentrionalis in goats induced by ruminal inoculation of the bacteria pigmentiphaga kullae and ancylobacter dichloromethanicus

No Brasil, estima-se que as intoxicações por plantas tóxicas que contém monofluoroacetato de sódio (MFA) causam a morte de aproximadamente 500.000 bovinosao ano. A inoculação ruminal de bactérias que degradam MFA tem sido proposta como uma forma de prevenir a intoxicação. O presente trabalho teve como objetivo avaliar, em caprinos, a resistência ao MFA presente em Amorimia septentrionalis, induzida por inoculação ruminal das bactérias Pigmentiphaga kullae e Ancylobacter dichloromethanicus. Doze caprinos, que nunca tiveram contato prévio com plantas que contêm MFA, foram divididos em dois grupos, com seis animais cada. No grupo 1, 60 mL de uma mistura das duas bactérias foi inoculada, diariamente, durante 10 dias em cada caprino. No grupo 2, os caprinos não receberam as bactérias. A partir do 10º dia de inoculação, A. septentrionalis foi administrada, diariamente, na dose de 5g/kg de peso vivo, sendo interrompida em cada animal após a observação dos primeiros sinais clínicos da intoxicação. Os caprinos do grupo 1 apresentaram sinais clínicos 5,83±2,56 dias após a administração da planta o que diferiu significativamente (p=0,037) dos caprinos do grupo 2, que apresentaram sinais clínicos aos 2,67±0,52 dias. A quantidade de planta ingerida pelos caprinos inoculados (28,83±12,97g/kg) e os não inoculados (12,03±3,65g/kg) para desencadear os sinais clínicos foi, também, estatisticamente diferente entre os grupos (p=0,025). Conclui-se que a administração intraruminal de Pigmentiphaga kullae e Ancylobacter dichloromethanicus induz resistência à intoxicação por plantas que contêm MFA.

In Brazil is estimated that poisoning of livestock by sodium monofluoroacetate (MFA) containing plants causes the death of about 500.000 cattle per year. The ruminal inoculation of bacteria that degrade MFA has been proposed as a way to prevent the poisoning. This study aimed to evaluate in goats resistance to the MFA-containing plant Amorimia septentrionalis induced by ruminal inoculation of the bacteria Pigmentiphaga kullae and Ancylobacter dichloromethanicus. Twelve goats, without previous contact with MFA-containing plants, were divided into two groups of six animals each. In group 1, 60ml of a mixture of the two bacteria was inoculated every day for 10 days into each goat. In group 2, the goats did not receive the bacteria. At the 10th day of inoculation, A. septentrionalis began to be administered daily at a dose of 5g/kg body weight to both groups. The administration was interrupted in each goat after first clinical signs of poisoning were observed.. The goats of group 1 showed clinical signs 5.83±2.56 days after the administration of the plant, what differed significantly (p=0.037) from goats of group 2, that showed clinical signs 2.67±0 52 days after the beginning of ingestion. The amount of A. septentrionalis ingested by inoculated goats (28.83±12.97g/kg) to cause clinical sings was significantly greater (p=0.025) than the amount ingested by the non-inoculated (12.03±3.65) goats to cause clinical signs and was also statistically different between the groups. We concluded that the intraruminal administration of Pigmentiphaga kullae and Ancylobacter dichloromethanicus increases the resistance to poisoning by MFA-containing plants.

Lathyrus hirsutus (Caley Pea) intoxication in a herd of horses.

BACKGROUND: Caley Pea (Lathyrus hirsutus) is potentially toxic to horses, but large case series are not reported. OBJECTIVES: To describe the clinical signs of horses intoxicated with Lathyrus hirsutus and speculate on the neuroanatomical lesion localization and pathogenesis based upon the observed clinical signs. ANIMALS: Twenty-two of 25 horses ranging in age from 6 to 34 months were affected. Five affected horses were presented to the OSUCHVS for evaluation and treatment after having been attended at the ranch by a local veterinarian (ALA). An additional horse that had been euthanized was also presented for necropsy. METHODS: A case series is presented. Diagnostic evaluation included: physical examination, complete blood count, serum biochemistry, CSF analysis, EMG, ERG, upper airway endoscopy, muscle biopsy, and serum vitamin E analysis. The grain ration consumed by the affected horses was analyzed for ionophores and cultured for fungi: the hay was examined for toxic plants. RESULTS: Bermuda grass hay consumed by the horses contained large quantities of mature Lathyrus hirsutus. Acute clinical signs conform to earlier descriptions of Lathyrus hirsutus intoxication in cattle. Residual neurologic signs were characterized by incoordination in the rhythmicity of multiple gaits. Evidence of mild neurogenic muscle atrophy was recognized in 1 of 5 horses biopsied. CONCLUSIONS AND CLINICAL IMPORTANCE: Caley Pea intoxication may occur within days of seed pod consumption. The neurologic signs are unique and suggest involvement of the upper motor neuron system and regions of the spinal cord influencing voluntary motor movement. Drought conditions during plant growth may increase the risk of toxicosis.

Poisonous plants: effects on embryo and fetal development.

Poisonous plant research in the United States began over 100 years ago as a result of livestock losses from toxic plants as settlers migrated westward with their flocks, herds, and families. Major losses were soon associated with poisonous plants, such as locoweeds, selenium accumulating plants, poison-hemlock, larkspurs, Veratrum, lupines, death camas, water hemlock, and others. Identification of plants associated with poisoning, chemistry of the plants, physiological effects, pathology, diagnosis, and prognosis, why animals eat the plants, and grazing management to mitigate losses became the overarching mission of the current Poisonous Plant Research Laboratory. Additionally, spin-off benefits resulting from the animal research have provided novel compounds, new techniques, and animal models to study human health conditions (biomedical research). The Poisonous Plant Research Laboratory has become an international leader of poisonous plant research as evidenced by the recent completion of the ninth International Symposium on Poisonous Plant Research held July 2013 in Hohhot, Inner Mongolia, China. In this article, we review plants that negatively impact embryo/fetal and neonatal growth and development, with emphasis on those plants that cause birth defects. Although this article focuses on the general aspects of selected groups of plants and their effects on the developing offspring, a companion paper in this volume reviews current understanding of the physiological, biochemical, and molecular mechanisms of toxicoses and teratogenesis.