Lead Toxicity

Todayโ€™s path rounds are on ๐ฅ๐ž๐š๐ ๐ญ๐จ๐ฑ๐ข๐œ๐ข๐ญ๐ฒ!

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
๐‹๐ž๐š๐ ๐ญ๐จ๐ฑ๐ข๐œ๐ข๐ญ๐ฒ is exactly what the name suggests, toxicity from ingesting too much lead. There are several potential causes of this condition across species, but today we are going to talk about birds!

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
We most commonly see this condition in ๐ฐ๐š๐ญ๐ž๐ซ๐Ÿ๐จ๐ฐ๐ฅ, like geese and ducks.

๐–๐ก๐š๐ญ ๐œ๐š๐ฎ๐ฌ๐ž๐ฌ ๐ข๐ญ?
The most common cause of lead toxicity in waterfowl is ingesting ๐ฅ๐ž๐š๐ ๐š๐ฆ๐ฆ๐ฎ๐ง๐ข๐ญ๐ข๐จ๐ง, particularly shot pellets. The lead shot looks like a tasty treat to a hungry bird, causing them to eat the pellets. Unfortunately for the bird, lead is a very soft metal, and is quickly absorbed via the gastrointestinal tract.

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
Lead is directly toxic to several tissues, including the immune system, brain and nervous tissue, red blood cells, the heart and the kidneys. In birds, toxicity most commonly causes ๐ฉ๐ซ๐จ๐ฏ๐ž๐ง๐ญ๐ซ๐ข๐œ๐ฎ๐ฅ๐š๐ซ ๐ข๐ฆ๐ฉ๐š๐œ๐ญ๐ข๐จ๐ง. The proventriculus is more commonly known as the โ€œcropโ€, and is basically an outpouching of the esophagus that is used to grind up feed before it reaches the stomach. Lead toxicity prevents the nerves normally involved in esophageal movement from firing, causing accumulation of food in the crop. Another common finding is ๐ก๐ฒ๐๐ซ๐จ๐ฉ๐ž๐ซ๐ข๐œ๐š๐ซ๐๐ข๐ฎ๐ฆ, or accumulation of fluid in the sac that surrounds the heart. This is likely due to heart failure from the toxinโ€™s effects on muscle.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐?
Diagnosis is typically based on ๐ญ๐จ๐ฑ๐ข๐œ๐จ๐ฅ๐จ๐ ๐ฒ ๐ฉ๐š๐ง๐ž๐ฅ findings, where a piece of liver from an animal is submitted to test for lead concentrations. In some cases, it can also be diagnosed by looking at the tissue under the microscope. Lead produces characteristic ๐ข๐ง๐œ๐ฅ๐ฎ๐ฌ๐ข๐จ๐ง ๐›๐จ๐๐ข๐ž๐ฌ within many types of cells, however we most commonly see them in the kidney.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ญ๐ซ๐ž๐š๐ญ๐ž๐? ๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ฉ๐ซ๐ž๐ฏ๐ž๐ง๐ญ๐ž๐?
Unfortunately, treatment for wild bird species is often impractical, since it would involve extensive hospitalization of each affected bird. So, prevention is very important! Many countries have restricted lead ammunition in waterfowl areas, to prevent loose shot from being accessible to the birds.

๐๐ก๐จ๐ญ๐จ๐ฌ
1) An X-ray of a swan showing a bunch of lead shot in its crop.
2) What the lead shot looks like! Tasty (if youโ€™re a bird ๐Ÿ˜…)!
3) A very enlarged crop due to lead toxicity.
4) Hydropericardium from lead toxicity.
5) What the inclusion bodies from lead look like under the microscope!

๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ
Terio, KA, McAloose, D, St. Leger, J. Pathology of Wildlife and Zoo Animals. 2018.

Photos 1-2 ยฉ Wikimedia Commons contributors Lamiot licensed under CC Share Alike 2.0 Generic.
Photos 1-5 ยฉ Noahโ€™s Arkive contributors Leighton, Reece licensed under CC BY-SA 4.0.

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