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Vitamin K3-induced renal toxicosis in the horse.

Abstract: Renal toxicosis attributable to vitamin K3 (menadione sodium bisulfite) was suspected in 5 young adult horses in which acute renal failure developed following parenteral administration of vitamin K3 at the manufacturers' recommended dosages. Renal disease was subsequently induced experimentally in 5 of 6 horses by administration of vitamin K3 at manufacturers' recommended dosages. Signs of renal disease in the clinical patients as well as in the horses treated experimentally included renal colic, hematuria, azotemia, and electrolyte abnormalities consistent with acute renal failure. Two clinical patients and 3 experimental horses were subsequently necropsied and found to have lesions of renal tubular nephrosis.
Publication Date: 1984-05-15 PubMed ID: 6735842
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  • Journal Article

Summary

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The research article describes a study in which vitamin K3 (menadione sodium bisulfite) was found to induce renal toxicosis in horses, causing acute renal failure even when administered at the recommended dosages.

Objective of the Research

  • The study was conducted to investigate the impact of vitamin K3 (menadione sodium bisulfite) on horses, particularly its possible relation with renal toxicosis and acute renal failure.

Study and Findings

  • The research was initiated when renal toxicosis was suspected in 5 young adult horses which developed acute renal failure following the administration of the recommended manufacturers’ dosages of Vitamin K3.
  • In order to validate this hypothesis, an experimental study was further conducted on 6 horses. The researchers induced renal disease in 5 of these horses by administering vitamin K3 in the same dosages advised by the manufacturers.
  • The clinical signs of renal disease were observed in both the initial cases as well as in the experimental horses, some of which include renal colic (abdominal pain), hematuria (blood in urine), azotemia (high levels of nitrogen-containing compounds in the blood) and electrolyte abnormalities that point towards acute renal failure.
  • Upon necropsy, which is a post-mortem examination, of two clinical patients and three experimental horses, lesions of renal tubular nephrosis (a condition characterized by the swelling and necrosis of the tubules in the kidneys) were discovered.

Significance of the Research

  • The study not only highlights a previously unrecognized side effect of vitamin K3 (at manufacturers’ recommended dosages) in horses but also raises concerns about the dosages recommended by manufacturers.
  • These findings can lead to changes in the use of vitamin K3 in veterinary practices, increasing the safety and well-being of horses.

Cite This Article

APA
Rebhun WC, Tennant BC, Dill SG, King JM. (1984). Vitamin K3-induced renal toxicosis in the horse. J Am Vet Med Assoc, 184(10), 1237-1239.

Publication

ISSN: 0003-1488
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 184
Issue: 10
Pages: 1237-1239

Researcher Affiliations

Rebhun, W C
    Tennant, B C
      Dill, S G
        King, J M

          MeSH Terms

          • Acute Kidney Injury / chemically induced
          • Acute Kidney Injury / veterinary
          • Animals
          • Female
          • Hemostatics / adverse effects
          • Horse Diseases / chemically induced
          • Horse Diseases / diagnosis
          • Horses
          • Humans
          • Kidney Failure, Chronic / chemically induced
          • Kidney Failure, Chronic / veterinary
          • Kidney Tubular Necrosis, Acute / chemically induced
          • Kidney Tubular Necrosis, Acute / veterinary
          • Male
          • Mice
          • Rats
          • Vitamin K / adverse effects
          • Vitamin K / analogs & derivatives
          • Vitamin K 3

          Citations

          This article has been cited 3 times.
          1. Zakian A, Mami S, Nouri M, Jalali SM, Tehrani-Sharif M. Brodifacoum toxicosis and abortion in an Arabian mare. Vet Res Forum 2019 Spring;10(2):173-176.
            doi: 10.30466/vrf.2018.85534.2115pubmed: 31338153google scholar: lookup
          2. Maxie G, van Dreumel T, McMaster D, Baird J. Ontario. Menadione (vitamin K(3)) toxicity in six horses. Can Vet J 1992 Nov;33(11):756-7.
            pubmed: 17424123
          3. van Galen G, Divers TJ, Savage V, Schott HC 2nd, Siwinska N. ECEIM consensus statement on equine kidney disease. J Vet Intern Med 2024 Jul-Aug;38(4):2008-2025.
            doi: 10.1111/jvim.17101pubmed: 38801172google scholar: lookup