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94. Cyanide poisoning

Differential diagnosis
- Nitrate poisoning
- Pulmonary adenomatosis
- Emphysema
- Urea poisoning


Etiology
- Inhibition of oxidative enzyme system due to
  ingestion of plants containing cyanogenic
  glycosides or of compounds used in fumigants soil
  sterilizer or rodenticides


1. History taking
- Ingestion of plants that contain cyanogenic
  glycosides or cyanide salts


2. Clinical examination
- Excitement
- Generalized muscle tremor
- Polypnea
- Dyspnea
- Salivation
- Lacrimation
- Voiding of feces and urine
- Clonic convulsion due to anoxia


3. Necropsy
- Peracute to acute: neither gross nor microscopic
  lesions
- Blood becomes bright red when it is exposed to
  air
- "Bitter almond" odor in fresh rumen contents
- Cyanosis
- Hemorrhage in trachea, lung, abomasum, small
  intestine, subepicardium, and subendocardium


4. Histopathological observation
- Patchy necrosis and laminar loss of cells in the
  cerebral cortex and necrosis in the head of
  caudate nucleus, paleo-cortex, substantia nigra
  and thalamus


5. Rumen content analysis
Specimen : rumen content
- Normal level = < 10 μg/g


6. Tissue analysis
Specimen : liver
- Normal level of hydrocyanic acid in liver < 1.4 μg/g


7. Feed analysis
Specimen : feed
Method : Picrate paper
- Normal level in plant < 200 ppm


Control and treatment
- Avoid grazing cyanogenic plants
- Treat with nitrite and thiosulfate IV


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