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A fatal condition affecting high lactating cattle and buffaloes at peak of lactation caused by sharp drop of serum P and characterised by hemoglobinuria, anemia, recumbency and death
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Metabolic Diseases: Post part. Hypo-phosphatemia Post-parturient Hemoglobinuria,
byDr. Ali H. Sadiek
Prof. of Internal Veterinary Medicine and Clinical Laboratory Diagnosis
Faculty of Veterinary Medicine, Assiut UniversityE-mail: [email protected]
Post part. Hypo-phosphatemia Post part. Hypo-phosphatemia Post-parturient Hemoglobinuria, Post-parturient Hemoglobinuria,
Puerperal Hemoglobinburia Puerperal Hemoglobinburia
• Affect high lact. cows 2-6 weeks after part.• May affect buff. cows before or after part.• It is widely distributed in Egypt esp. in winter. • Charct. clinically by hemolysis of RBCs,
Hemoglobonuria, anemia and loss of condition.
CausesCauses::
• Not really understood, but severe drop in serum P levels a result of its secretion in milk and intensive milk production may predispose to the condition.
• Heavy feeding on hemolytic or oxidative plant toxins (e.g Brassica spp , sugar beets, or green forage) and plants low in P (cruciferous plants & Barseem) may predispose to the case.
Phosphorus is essential for: Phosphorus is essential for: 1- Intracellular functions e.g: • Glycolysis, • Oxygen transport, • Muscle contraction.• Protection of cell memb. from oxidative
damage.
2-It is an important component of:Bones, milk, and ruminant saliva.
3- P deficiency is usually primary and results in organ and system dysfunction and finally progressive demineralization of bone.
Suggested Pathogenesis of PPHburiaSuggested Pathogenesis of PPHburia
1 -Heavy lactation
3- Cruciferous plant (Low P & saponin)
Hypophosphatemia
Increases osmotic fragility of RBCs
4-Cu , Se deficiency
2 -Oxidative plant toxins (brassica, Sugar beets)
Hemolysis of RBCs
Hemoglobinuria &Red urine
AnemiaJaundice
Oxidative injury of RBCs
Dehydration &Recumbency
Anemic anoxia Death
Cold rainy weather
Clinical signsClinical signs : :1. Inappetance2. Severe decrease in the milk yield. 3. Hemoglobinurea in the next day. 4. Affected cows may have fever, diarrhea, and
tachypnea5. Signs of anemia: Pale Mucous membranes, icterus later on. Cardiac impulse is seriously augmented. 6. Recumbency: Acute cases stays for 3-4 days then,
the cow becomes severely dehydrated, weak, 7. Cows may die later on from anemic anoxia. 8. Non-fatal cases, recovery occurs after 3 weeks with
case fatality rate of (10-30%).
Post-Parturient haemoglobinurea
Hemoglobinurea
Passage of red colored urine
Urine strip Dipstick is positive for Hb
Red colored bloody urine
DiagnosisDiagnosis1. Case history: Time of calving and time of
occurrence and plan of nutrition.
2. Clinical signs: - Sudden appearance of heamoglobinurea 4 weeks after calving, - Normal to moderately rise body temperature.
3. Laboratory: - Serum P < 4 mg/dl., - Low RBCs, Hb, PCV. - Excess urine Urobilinogin
Hematuria* Hemoglobinuria†
Urolithiasis Postparturient hemoglobinuria
Cystitis
Leptospirosis
Acute pyelonephritis
Water or salt poisoning
Enzootic hematuria
Brassica or onion intoxication
Oxalate poisoning (ethylene glycol)
Chronic copper intoxication
Babesiosis, Theileriosis Bacillary hemoglobinuria
TreatmentTreatment• I.V. injection of 60 gm Na hypophosphate in 300
ml DW, repeated s.c. for next 3 days• Tonophosphan 50 ml, I/M Twice/24 hr• Copper glycinate (120 mg copper) may halt
hemolysis. • Bone meal should be added to the ration of
cows.• Blood transfusion should be attempted in severe
anemia (PCV < 16 %) 4- 10 liter/cow• Control:
1. Pay attention to phosphorus content of the ration at beginning of lactation. 2. Phosphorus supplement or bone meal could be added.