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Basics

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BASICS

Overview!!navigator!!

  • Isocoma pluriflora (rayless goldenrod) was previously known as Isocoma wrightii or Haplopappus heterophyllus
  • The plant is an erect, bushy, unbranching perennial shrub that grows 60–120 cm (2–4 feet) in height
  • The leaves are alternate and linear and generally have a smooth margin but can be toothed; the leaves also may have a sticky feel to them
  • The flowers are yellow, tubular, and terminal and number 7–15 per head
  • The plant prefers the arid southwest and is found in dry rangelands of southern Colorado, through New Mexico and Arizona, western Texas, and into northern Mexico
  • The plant grows well in river valleys, along drainage areas, and is abundant along the Pecos River
  • Tremetone, a ketone, is reportedly the toxic agent

Signalment!!navigator!!

N/A

Signs!!navigator!!

  • No cases of I. pluriflora intoxication have been documented in horses. However, cases of alkali disease were reported in the early 1900s in horses and is believed to be from I. pluriflora
  • The toxin is the same as that found in Eupatorium rugosum (white snakeroot), and presumptive evidence exists that the same clinical signs could be expected—heart muscle degeneration, muscle tremors, ataxia, reluctance to walk, heavy sweating, myoglobinuria, and depression
  • Horses that eat E. rugosum have an onset of clinical signs within 2–3 weeks after ingestion; generally, 2–3 days of ingestion is required. Generally this is believed to be approximately 1–2% of their body weight
  • The disease has been documented in nursing young of horses, sheep, and cattle
  • Affected horses stand with their legs wide apart and develop swelling near the thoracic inlet and along the ventral neck
  • There may be a jugular pulse and associated tachycardia
  • ECG changes—increased heat rate, ST elevation, and variable QRS complexes
  • Cardiac arrhythmias often are present and detectable on auscultation

Causes and Risk Factors!!navigator!!

  • Environmental conditions such as drought result in less desirable forages or weeds being consumed
  • Hungry or thirsty horses that are unfamiliar with a given area are more likely to consume I. pluriflora

Diagnosis

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DIAGNOSIS

Differential Diagnosis!!navigator!!

  • Evidence of consumption and occurrence of compatible clinical signs remain the best way of diagnosing intoxication
  • Examination of the pasture may reveal that the plant has been browsed
  • Selenium/vitamin E deficiency (white muscle disease)—measurement of selenium and vitamin E in whole blood, serum, or liver
  • Ionophore intoxication—detection of ionophore in feed or gastrointestinal contents

CBC/Biochemistry/Urinalysis!!navigator!!

  • Horses intoxicated with E. rugosum have elevated serum creatine kinase, aspartate aminotransferase, and alkaline phosphatase activities
  • Presumably, horses consuming I. pluriflora have similar abnormalities

Other Laboratory Tests!!navigator!!

  • ECG changes may be noted as described above
  • Detection of toxin may be possible

Imaging!!navigator!!

N/A

Other Diagnostic Procedures!!navigator!!

N/A

Pathologic Findings!!navigator!!

  • Horses ingesting E. rugosum have nonspecific histopathologic lesions
  • Lesions associated with suspected I. pluriflora intoxication—myocardial degeneration, necrosis, and fibrosis, renal tubular degeneration, and hepatic fatty changes
  • The pericardial sac may contain straw-colored fluid, and the subendocardium may have extensive pale areas

Treatment

TREATMENT

  • Decontamination with AC and a saline cathartic may be helpful, especially to reduce enterohepatic circulation of the toxin
  • Monitor ECG and treat arrhythmias accordingly
  • Recovery may be protracted and high-quality forage is important to help alleviate the severe ketosis and acidosis
  • Administration of parenteral carbohydrates for control of the low glucose levels in the blood
  • Animals that survive may be left with a severely scarred heart and circulatory dysfunction; therefore, symptomatic and supportive care is always appropriate

Medications

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MEDICATIONS

Drug(s) of Choice!!navigator!!

  • AC (1–4 g/kg PO in a water slurry (1 g of AC per 5 mL of water))
  • Sodium or magnesium sulfate (250 mg/kg PO as a 20% solution)

Contraindications/Possible Interactions!!navigator!!

N/A

Follow-up

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FOLLOW-UP

Patient Monitoring!!navigator!!

N/A

Prevention/Avoidance!!navigator!!

  • Preventing access to the plant is the best solution for avoiding intoxication
  • Herbicides can be used to control plant growth

Possible Complications!!navigator!!

N/A

Expected Course and Prognosis!!navigator!!

N/A

Miscellaneous

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MISCELLANEOUS

Associated Conditions!!navigator!!

N/A

Age-Related Factors!!navigator!!

N/A

Zoonotic Potential!!navigator!!

N/A

Pregnancy/Fertility/Breeding!!navigator!!

N/A

Abbreviations!!navigator!!

AC = activated charcoal

Suggested Reading

Burrow GE, Tyrl RJ. Toxic Plants of North America. Ames, IA: Iowa State University Press, 2001:181183.

Olson CT, Keller WC, Gerken DF, Reed SM. Suspected tremetol poisoning in horses. J Am Vet Med Assoc 1984;185:10011003.

Sanders M. White snakeroot poisoning in a foal: a case report. J Equine Vet Sci 1983;3:128131.

Author(s)

Author: Tam Garland

Consulting Editors: Wilson K. Rumbeiha and Steve Ensley