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Nitrate Poisoning

Scott Fritz, DVM, ABVT
Toxicologist
Beef Cattle Institute
Kansas State University 
Scottfritz@vet.k-state.edu 

Sources 

Mechanism 

Rumen reduces nitrate to nitrite.  Nitrite reduces the iron in heme forming methemoglobin that can’t carry oxygen – the affected animal become anoxic.  Clinical signs will occur at 30-40% methemoglobin, death can occur when methemoglobin is >70%. 

Signs 

Rapid onset (30 minutes to hours) of weakness, bloat, ataxia, recumbency, cyanosis, and death.  The rapid progression from consumption to death precludes the formation of any reliable lesions.  Pregnant animals that survive the acute disease may abort 3-7 days after exposure.   

Treatment 

Methylene blue is the traditional antidote administered at 10 mg/kg of a 1% solution.  There are withdrawal concerns for the use of methylene blue due to it being a potential carcinogen, FARAD should be consulted.  Remove the suspect source. 

Diagnosis 

 Links 

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