Ergotism

Todayโ€™s path rounds are on ๐ž๐ซ๐ ๐จ๐ญ๐ข๐ฌ๐ฆ!

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
๐„๐ซ๐ ๐จ๐ญ๐ข๐ฌ๐ฆ is a disease caused by ingesting fungus-infested grain, and is the oldest known ๐ฆ๐ฒ๐œ๐จ๐ญ๐จ๐ฑ๐ข๐œ๐จ๐ฌ๐ข๐ฌ (toxicity produced by fungi). In fact, ergot toxicity may have been the underlying โ€œcauseโ€ of the witches identified in the Salem witch trials! Wild.

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
This disease primarily occurs in cattle that are on high grain diets, like those in a feedlot or in a dairy.

๐–๐ก๐š๐ญ ๐œ๐š๐ฎ๐ฌ๐ž๐ฌ ๐ข๐ญ?
Ergotism is caused by ๐ž๐ซ๐ ๐จ๐ญ๐ฌ (a compacted chunk of fungus) of the fungus ๐‚๐ฅ๐š๐ฏ๐ข๐œ๐ž๐ฉ๐ฌ ๐ฉ๐ฎ๐ซ๐ฉ๐ฎ๐ซ๐ž๐š. These ergots develop on the seed heads of many grain species, like rye, and contain toxins called ๐š๐ฅ๐ค๐š๐ฅ๐จ๐ข๐๐ฌ. Animals ingest the ergot as part of their diet, and become exposed to the alkaloids. With time, the animals develop the clinical disease we know as ergotism.

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
The main effect of ergot toxicity is ๐ฉ๐ž๐ซ๐ข๐ฉ๐ก๐ž๐ซ๐š๐ฅ ๐ฏ๐š๐ฌ๐จ๐œ๐จ๐ง๐ฌ๐ญ๐ซ๐ข๐œ๐ญ๐ข๐จ๐ง, meaning that the vessels at the very peripheral parts of the animal constrict until very little blood flow is allowed through. This results in ๐ข๐ฌ๐œ๐ก๐ž๐ฆ๐ข๐š (inadequate blood to a tissue) and cell death. Clinically, this appears as ๐๐ซ๐ฒ ๐ ๐š๐ง๐ ๐ซ๐ž๐ง๐ž (dried out, dead tissue) affecting the feet, ear tips, and tail. These animals are often severely lame, and the affected tissue can ๐ฌ๐ฅ๐จ๐ฎ๐ ๐ก (fall off) entirely. Yikes!

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐?
This disease would be highly suspected if there are multiple animals presenting with dry gangrene on an operation. From there, doing an assessment of the diet to test for the toxic alkaloids can confirm the diagnosis.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ญ๐ซ๐ž๐š๐ญ๐ž๐?
Removal of the problematic grain from the diet is the best first step for mildly affected animals, but unfortunately there isnโ€™t much for treatment of severely affected animals. These animals are often euthanized due to poor prognosis.

๐๐ก๐จ๐ญ๐จ๐ฌ
1) An example of a grain crop with black ergots on it.
2) A poor cow with chronic ergotism. Note the nasty lesions on the hind legs, the thinned and crooked tail, and the missing ears!
3-4) Severe dry gangrene resulting in complete separation of the foot from the leg. This case was probably frostbite (since itโ€™s a calf) but this could definitely happen in ergotism!
5) Another example of sad feet from ergostism.
6) A sloughed tail tip of a cow with ergotism.

๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ
Maxie, G. Jubb, Kennedy and Palmerโ€™s Pathology of Domestic Animals, Volume 1. Sixth Edition.

Photos 1-2, 5-6 courtesy of Noahโ€™s Arkive.
Photos 3-4 courtesy of University of Calgary Diagnostic Services Unit.

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