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Journal of veterinary internal medicine2006; 20(5); 1197-1201; doi: 10.1892/0891-6640(2006)20[1197:rmarlt]2.0.co;2

Red maple (Acer rubrum) leaf toxicosis in horses: a retrospective study of 32 cases.

Abstract: Ingestion of wilted red maple leaves by horses can result in severe hemolytic anemia and methemoglobinemia. Little is known about what factors influence the outcome of red maple leaf toxicosis in horses. Objective: Our hypothesis was that physical examination findings, clinicopathologic variables or therapeutic modalities may predict outcome in horses with red maple leaf toxicity. Methods: Horses with red maple leaf toxicosis presented to referral hospitals in the southeast region of the United States. Methods: A multi-institutional retrospective study was designed to identify factors that predict mortality in horses with red maple toxicosis. Results: Thirty-two horses with red maple toxicosis were identified, 19 of which died. Twenty-nine horses presented with anemia and 24 had clinicopathologic evidence of systemic inflammation. Renal insufficiency was identified in 12/30 (41%) horses. Laminitis (9/28) and colic (13/30) also were identified in horses with red maple toxicosis, but development of these 2 conditions did not have a negative effect on short-term survival. Horses with red maple toxicosis that survived to discharge were likely to have developed pyrexia during hospitalization (P = .030). Horses that were treated with a corticosteroid had a significantly increased likelihood of death (P = .045). There was no significant relationship between initial serum hemoglobin concentration, methemoglobin concentration, or percentage methemoglobin and mortality in this horse series. Conclusions: This study suggests that information obtained on initial examination cannot be used to accurately predict survival in horses with red maple toxicosis, but horses that receive corticosteroids are unlikely to survive.
Publication Date: 2006-10-27 PubMed ID: 17063716DOI: 10.1892/0891-6640(2006)20[1197:rmarlt]2.0.co;2Google Scholar: Lookup
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  • Journal Article
  • Multicenter Study

Summary

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The research investigated factors that may influence the outcome of red maple leaf toxicosis in horses. They concluded that data obtained upon the initial examination of affected horses could not accurately predict survival outcomes. However, treatments involving corticosteroids were associated with higher mortality rates.

Study Methodology

The researchers developed a multi-institutional retrospective study which involved horses that had been diagnosed with red maple leaf toxicosis in the southeast region of the United States. Their goal was to identify factors that could predict mortality rates in these horses.

Key Findings

  • Out of the thirty-two horses diagnosed with red maple toxicosis, nineteen died as a direct result of the condition.
  • A majority of horses presented with symptoms such as anemia, and evidence of systemic inflammation was observed in twenty-four of the affected horses.
  • Twelve out of thirty horses were identified with renal insufficiency, a condition where the kidneys fail to sufficiently filter waste products from the blood.
  • Horses with red maple toxicosis also exhibited other illnesses such as laminitis and colic. However, these conditions did not impact short-term survival.
  • Horses that survived long enough to be discharged were likely to have developed pyrexia, a condition characterized by a fever.
  • Horses that were treated with a type of medication called corticosteroids had a significantly increased likelihood of death. There was no significant relationship between initial serum hemoglobin concentration, methemoglobin concentration, or percentage methemoglobin and mortality in these horses.

Conclusions

The study concluded that the clinical data collected from the initial examination of horses suffering from red maple toxicosis could not accurately predict whether the animal would survive or not. One of the significant findings of the study was the higher mortality rate associated with corticosteroid treatment, suggesting that these drugs are not suitable for use in treatment protocols for red maple toxicosis in horses.

Cite This Article

APA
Alward A, Corriher CA, Barton MH, Sellon DC, Blikslager AT, Jones SL. (2006). Red maple (Acer rubrum) leaf toxicosis in horses: a retrospective study of 32 cases. J Vet Intern Med, 20(5), 1197-1201. https://doi.org/10.1892/0891-6640(2006)20[1197:rmarlt]2.0.co;2

Publication

ISSN: 0891-6640
NlmUniqueID: 8708660
Country: United States
Language: English
Volume: 20
Issue: 5
Pages: 1197-1201

Researcher Affiliations

Alward, Ashley
  • Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh 27606, USA.
Corriher, Candice A
    Barton, Michelle H
      Sellon, Debra C
        Blikslager, Anthony T
          Jones, Samuel L

            MeSH Terms

            • Acer / metabolism
            • Acer / poisoning
            • Anemia / blood
            • Anemia / etiology
            • Anemia / pathology
            • Anemia / therapy
            • Anemia / veterinary
            • Animals
            • Erythrocyte Count / veterinary
            • Female
            • Heinz Bodies / pathology
            • Hematocrit / veterinary
            • Hemoglobins / analysis
            • Horse Diseases / blood
            • Horse Diseases / etiology
            • Horse Diseases / pathology
            • Horse Diseases / therapy
            • Horses
            • Logistic Models
            • Male
            • Methemoglobin / analysis
            • Multivariate Analysis
            • Plant Leaves / poisoning
            • Plant Poisoning / blood
            • Plant Poisoning / pathology
            • Plant Poisoning / therapy
            • Plant Poisoning / veterinary
            • Retrospective Studies
            • Risk Factors
            • Seasons
            • Southeastern United States

            Citations

            This article has been cited 3 times.
            1. Pearce JM, Khaksari M, Denkenberger D. Preliminary Automated Determination of Edibility of Alternative Foods: Non-Targeted Screening for Toxins in Red Maple Leaf Concentrate.. Plants (Basel) 2019 Apr 26;8(5).
              doi: 10.3390/plants8050110pubmed: 31027336google scholar: lookup
            2. Bozorgmanesh R, Magdesian KG, Rhodes DM, Von Dollen KA, Walter KM, Moore CE, Puschner B, Woods LW, Torrisi K, Voss ED. Hemolytic anemia in horses associated with ingestion of Pistacia leaves.. J Vet Intern Med 2015 Jan;29(1):410-3.
              doi: 10.1111/jvim.12532pubmed: 25619527google scholar: lookup
            3. Walter KM, Moore CE, Bozorgmanesh R, Magdesian KG, Woods LW, Puschner B. Oxidant-induced damage to equine erythrocytes from exposure to Pistacia atlantica, Pistacia terebinthus, and Pistacia chinensis.. J Vet Diagn Invest 2014 Nov;26(6):821-6.
              doi: 10.1177/1040638714550183pubmed: 25227420google scholar: lookup