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Plant poisoning – an emerging problem in equine medicine?

Retrospektive Studie der Pferde mit chronisch rekurrierender Blinddarmobstipation nach chirurgischer Versorgung mittels Erweiterungsplastik des Ostium caecocolicum

Karolina Drozdzewska, Dagmar S. Trachsel, Alexander Bartel and Heidrun Gehlen

Abstract

The incidence of plant poisoning in horses seems to have increased, but there are only a few reports discussing this issue. This study was performed to assess the number of plant intoxications treated in an equine clinic in Germany between 2011 and 2020 and to relate them to weather conditions (temperature, sunshine duration, precipitation). The analysis included a Poisson count regression. Forty-two cases were included. Plant poisoning roughly doubled in hot and dry years 2018 (n = 8) and 2019 (n = 9) compared to previous years. An increase of the average annual temperature by 1 ºC resulted in more than a doubling of intoxication cases relative to colic cases (IR 2.466, CI 1.52–4.98, p = 0.001). Longer sunshine duration resulted in a significant increase in cases (p = 0.013). Berteroa incana and Robinia pseudoacacia were the most common intoxicants. Climate change is a growing problem and leads to the overgrowth of plants that prefer warm and dry conditions, including poisonous plants, such as B. incana and Senecio jacobeae. If the grass on a pasture is scarce, horses eat plants that are normally unpalatable. Moreover, hay quality and its contamination with toxic plants might be an issue. Our hypothesis was confirmed as the number of plant intoxications in our region increased since 2018. Furthermore, our study tentatively indicates that weather conditions may influence the number of poisonings but also the species of toxic plants responsible for such poisonings. Awareness should be raised among equestrians that the number of certain plant intoxications threatens to increase in the future if climate change progresses. Further investigations are needed to test the hypothesis in a geographically wider area.

Keywords: plant, intoxication, poisoning, weather, climate change

Pengliang Li, Xuyan Wu, Wei Wang, Cheng Zhang, Xiaochen Yang, Jixiang Li

Abstract

Impaction is one of the most common disease of the cecum in horses. It is important to distinguish between acute and chronic recurrent cases. Acute impaction occurs suddenly and resolves within a few days with medical and/or surgical treatment whereas in chronic cases the impaction within the base or the whole cecum occurs repeatedly at irregular intervals. The chronic recurrent cecal impaction (CRCI) is characterized by hypertrophy of muscle in the cecal base or entire cecum. The pathogenesis is not fully understood: hypothesis is that the cecal impaction induces a distension during the contraction of the circular muscle layer which is a stimulus of a hypertrophy of the circular and longitudinal muscle layer in the cecum. Furthermore, neuronal density in the plexus myentericus was found to be decreased significantly in the cecal wall of CRCI. Initially, in cases of CRCI the cecocolic orifice is not entirely blocked allowing partial transit of ingesta. Hypertrophy of the muscle layer (longitudinal and circular muscle) begins at the cecal base and as the disease progresses, the cecocolic opening becomes completely obstructed due to the automatic closure mechanism. The rectal and ultrasound exam are the most useful diagnostic steps while different degrees of cecal impaction and/or tympany, a marked thickening and cecal wall contractility due to palpation are found. The hypertrophy can be regarded as a pathognomonic sign. Treatment in our study was done by surgical enlargement of the cecocolic orifice (created by Huskamp 1990). Tissue samples of defined cecal regions were taken during surgery or necropsy: the circular and longitudinal muscle layer were significantly thicker, linear neuron densities were significantly lower each compared to clinically healthy horses. Based on smooth muscle thickening and neuron deficit, rectally palpable and ultrasound visible cecal wall thickening, horses suffering from CRI have a poor prognosis. Surgery by enlargement of the cecocolic orifice in horses with CRCI have a better prognosis if only the cecal base has a thickening and a normal cecal body wall.

Keywords: horses, chronic recurrent cecal impaction, surgical treatment enlargement cecocolic orifice, long-term survival

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