Monensin Toxicity

Todayโ€™s path rounds are on ๐ฆ๐จ๐ง๐ž๐ง๐ฌ๐ข๐ง ๐ญ๐จ๐ฑ๐ข๐œ๐ข๐ญ๐ฒ!

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
๐Œ๐จ๐ง๐ž๐ง๐ฌ๐ข๐ง is an ๐ข๐จ๐ง๐จ๐ฉ๐ก๐จ๐ซ๐ž, which are common feed additives found in ruminant diets that helps promote growth. However, these compounds are ๐๐จ๐ฌ๐ž-๐๐ž๐ฉ๐ž๐ง๐๐ž๐ง๐ญ toxins, meaning that having too much is a bad thing!

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
Although we can see this condition in ruminants, we most commonly think of it in horses! Horses seem extremely sensitive to this toxin, for unknown reasons.

๐–๐ก๐š๐ญ ๐œ๐š๐ฎ๐ฌ๐ž๐ฌ ๐ข๐ญ?
Usually, these toxicities arise from errors at the feed mill. In the case of ruminants, that might mean accidentally adding too much product to a batch of feed. With horses, it often results from failure to properly clean equipment in between batches of ruminant feed and horse feed. Feed mills must be very careful to prevent cross-contamination!

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
Monensin is a ๐œ๐š๐ซ๐๐ข๐จ๐ญ๐จ๐ฑ๐ข๐ง, meaning it directly impacts the heart. The toxin causes ๐œ๐š๐ซ๐๐ข๐จ๐ฆ๐ฒ๐จ๐œ๐ฒ๐ญ๐ž (muscle cells of the heart) ๐ง๐ž๐œ๐ซ๐จ๐ฌ๐ข๐ฌ (cell death), which can lead to fatal ๐š๐ซ๐ซ๐ก๐ฒ๐ญ๐ก๐ฆ๐ข๐š๐ฌ (irregular beats). If the animal survives the initial toxic event, they are often left with long-term cardiac problems.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐?
Diagnosis is usually based on a history of potential exposure, combined with ultrasound findings of heart disease. However, horses are frequently found dead because of how quickly the toxin can cause damage.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ญ๐ซ๐ž๐š๐ญ๐ž๐?
Unfortunately, there is no specific treatment available, and supportive care is only minimally helpful in preventing death. Because of the long-term cardiac problems that occur afterwards, often these animals are euthanized, even if they survive the initial toxicity.

๐๐ก๐จ๐ญ๐จ๐ฌ
1-5) Pale, sad heart muscle after monensin ingestion.

๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ
Maxie, G. Jubb, Kennedy and Palmerโ€™s Pathology of Domestic Animals, Volume 3. Sixth Edition.

Photos 1-2 ยฉ University of Calgary Diagnostic Services Unit.
Photos 3-5 ยฉ Noahโ€™s Arkive contributors Hedstrom, Doster licensed under CC BY-SA 4.0.

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