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Cluster of cases of massive hemorrhage associated with anticoagulant detection in race horses.

Abstract
Five horses originating from 4 different California race tracks were submitted to the California Animal Health and Food Safety Laboratory for necropsy and diagnostic workup. The 5 horses had a history of sudden collapse and death during exercise. In all of them, massive hemoperitoneum and hemorrhages in other cavities or organs were observed. The liver from these 5 animals and from 27 horses that had been euthanized due to catastrophic leg injuries (controls) were subjected to a rodenticide anticoagulant screen. Traces of brodifacoum, diphacinone, or bromadiolone were detected in the 5 horses with massive bleeding (5/5), and no traces of rodenticides were detected in control horses (0/27). Other frequent causes of massive hemorrhages in horses were ruled out in 4 of the cases; one of the horses had a pelvic fracture. Although only traces of anticoagulants were found in the livers of these horses and the role of these substances in the massive bleeding remains uncertain, it is speculated that exercise-related increases in blood pressure may have reduced the threshold for toxicity of these anticoagulants.
AuthorsFrancisco R Carvallo, Robert Poppenga, Hailu Kinde, Santiago S Diab, Akinyi C Nyaoke, Ashley E Hill, Rick M Arthur, Francisco A Uzal
JournalJournal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc (J Vet Diagn Invest) Vol. 27 Issue 1 Pg. 112-6 (Jan 2015) ISSN: 1943-4936 [Electronic] United States
PMID25525145 (Publication Type: Journal Article)
Copyright© 2014 The Author(s).
Chemical References
  • 4-Hydroxycoumarins
  • Anticoagulants
  • Rodenticides
  • diphenadione
  • Phenindione
  • bromfenacoum
  • bromadiolone
Topics
  • 4-Hydroxycoumarins (toxicity)
  • Animals
  • Anticoagulants (toxicity)
  • California
  • Hemoperitoneum (chemically induced, veterinary)
  • Hemorrhage (chemically induced, veterinary)
  • Horse Diseases (chemically induced)
  • Horses
  • Liver (chemistry)
  • Male
  • Phenindione (analogs & derivatives, toxicity)
  • Physical Conditioning, Animal
  • Rodenticides (toxicity)

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