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Journal of equine veterinary science2021; 106; 103752; doi: 10.1016/j.jevs.2021.103752

Copper Toxicity in Horses: Does it Exist?

Abstract: Copper toxicity is thought to be a rare condition in horses. However, the number of cases diagnosed in Brazil is growing. This article aims to describe cases of copper toxicity involving horses from different geographic locations and discuss findings of physical examinations, differential diagnoses and potential causes. Five cases referred from 4 different properties where at least 15 other horses were affected were described. Hemolytic anemia and hemoglobinuria, presence of Heinz bodies and elevated aspartate aminotransferase and gamaglutamil transferase levels were detected in all cases. The diagnosis was based on clinical history and signs, laboratory tests results, copper level determination in feed and/or soil and histopathological findings. Two horses progressed to acute death; remaining horses responded to clinical management with or without blood transfusion, depending on disease severity. However, one of these horses, after several returns to the veterinary hospital, was euthanized due to complications. One horse was treated with ammonium tetrathiomolybdate. Two horses had several recurring episodes over the course of several months, an uncommon presentation in ruminants suffering from copper toxicity. Excess copper was associated with soil fertilization with poultry litter or treatment of previous or neighbor crops with copper-containing products. It can be concluded that copper toxicity does occur in horses and may arise from several sources and/or be associated with predisposing dietary factors. Given the growing number of cases, the condition should be included in the differential diagnosis list and proper preventive dietary and pasture fertilization measures adopted.
Publication Date: 2021-08-30 PubMed ID: 34670692DOI: 10.1016/j.jevs.2021.103752Google Scholar: Lookup
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Summary

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This research article investigates cases of copper toxicity in horses, which has previously been considered rare, but seems to be increasing particularly in Brazil. The study identifies various clinical signs and potential causes, offering suggestions for prevention and treatment.

Research Context and Objectives

  • Copper toxicity is generally considered a rare condition in horses. However, the objective of the research was to address the apparent increase in such cases in Brazil.
  • The goal was to analyze these cases, understanding the clinical signs, potential causes and discuss possible differential diagnoses.
  • The expectation was that such an investigation could lead to improved prevention and clinical management of copper toxicity in horses.
  • Methodology

    • The study involved five cases from 4 different properties where at least 15 other horses were also affected.
    • The symptoms of the horses included hemolytic anemia and hemoglobinuria, presence of Heinz bodies and elevated aspartate aminotransferase and gamaglutamil transferase levels.
    • In order to diagnose the condition, researchers considered the clinical history, signs, laboratory test results, copper level determination and histopathological findings.
    • Findings and Conclusions

      • The severity of the toxicosis varied among cases. Two horses succumbed to acute death, while others responded to clinical management, with one eventually euthanized due to complications.
      • Interestingly, two horses experienced recurring episodes over several months, an uncommon presentation for ruminants suffering from copper toxicity.
      • The conclusion was that copper toxicity does indeed occur in horses and could arise from a variety of sources. Specifically, the source of excess copper for these cases was linked with soil fertilization with poultry litter and copper-containing crop treatments.
      • This indicates that the management of dietary intake and pasture fertilization is essential towards preventing copper toxicity in horses.
      • Implications

        • The findings of this study suggest that copper toxicity should be included in the differential diagnosis for horses showing related symptoms.
        • Furthermore, to prevent copper toxicity in horses, proper precautions should be taken regarding dietary intake and pasture fertilization.
        • The results also serve as a caution for those using copper-based products for soil treatments or fertilization, as this could inadvertently put nearby livestock at risk of copper toxicity.

Cite This Article

APA
Belli CB, Fernandes WR, Torres LN, Sucupira MCA, de Sá LRM, Maiorka PC, Neuenschwander HM, de Barros AMC, Baccarin RYA. (2021). Copper Toxicity in Horses: Does it Exist? J Equine Vet Sci, 106, 103752. https://doi.org/10.1016/j.jevs.2021.103752

Publication

ISSN: 0737-0806
NlmUniqueID: 8216840
Country: United States
Language: English
Volume: 106
Pages: 103752
PII: S0737-0806(21)00382-8

Researcher Affiliations

Belli, Carla Bargi
  • Department of Internal Medicine, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo - SP, Brazil.
Fernandes, Wilson Roberto
  • Department of Internal Medicine, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo - SP, Brazil.
Torres, Luciana Neves
  • Department of Pathology, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo - SP, Brazil.
Sucupira, Maria Claudia Araripe
  • Department of Internal Medicine, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo - SP, Brazil.
de Sá, Lilian Rose Marques
  • Department of Pathology, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo - SP, Brazil.
Maiorka, Paulo Cesar
  • Department of Pathology, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo - SP, Brazil.
Neuenschwander, Henrique Macedo
  • Department of Internal Medicine, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo - SP, Brazil.
de Barros, Aline de Matos Curvelo
  • Department of Internal Medicine, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo - SP, Brazil. Electronic address: alinebarros219@gmail.com.
Baccarin, Raquel Yvonne Arantes
  • Department of Internal Medicine, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo - SP, Brazil.

MeSH Terms

  • Anemia, Hemolytic / chemically induced
  • Anemia, Hemolytic / veterinary
  • Animals
  • Copper / toxicity
  • Heinz Bodies
  • Hemoglobinuria / veterinary
  • Horse Diseases / chemically induced
  • Horses

Citations

This article has been cited 1 times.
  1. Cygan-Szczegielniak D, Stasiak K. Concentration of Selected Essential and Toxic Trace Elements in Horse Hair as an Important Tool for the Monitoring of Animal Exposure and Health.. Animals (Basel) 2022 Oct 4;12(19).
    doi: 10.3390/ani12192665pubmed: 36230405google scholar: lookup