Amanitin is a toxic cyclopeptide present in several species of poisonous mushrooms. Amanitin toxicosis was diagnosed in 2 cats from separate premises. Both cats initially had lethargy and vomiting, and they rapidly developed depression and neurological signs over 24-48 hours. Marked elevation of alanine aminotransferase was the primary finding, with subsequent serum chemistry values compatible with hepatic and renal failure. Histopathological findings consisted of submassive to massive acute hepatic necrosis, renal proximal tubular epithelial necrosis, and foci of necrosis and inflammation in the gastrointestinal tract. Amanitin exposure was confirmed postmortem by detection of a-amanitin in the kidney by liquid chromatography-mass spectrometry. A similar clinical course and pathological changes are reported in human and canine amanitin intoxication; however, gastrointestinal lesions are not typically described.
Keywords amanitins, cats, gastrointestinal tract, kidney, liver, mushroom poisoningAmanitins are cyclopeptides present in several species of poisonous mushrooms in the genera Amanita, Galerina, and Lepiota and are considered to be responsible for the potent toxicity of these mushroom species.5,10,11 Cases of natural amanitin toxicosis are reported in humans and dogs, and experimental toxicity studies have been described in a variety of species. 1,2,5,7,10 The clinical progression is classically described as multiphasic. 2,5,7,8,9 Following an initial latency period 6 to 24 hours post ingestion, gastrointestinal (GI) signs occur, including vomiting, bloody diarrhea, and abdominal pain. This can be followed by a period of seeming recovery, which may last hours to days, until the development of clinical signs of hepatic and renal failure in the final phase. Acute hepatocellular necrosis, often accompanied by renal proximal tubular epithelial necrosis, is the typical pathological finding. 2,5,7,8,9 We report the clinical and pathological changes associated with amanitin toxicosis in 2 cats. To our knowledge, this is the first report of amanitin toxicosis in cats.
Cat No. 1In November, a 1-year-old spayed female domestic shorthair cat was presented to a veterinary practice in northern California for acute onset of vomiting, lethargy, and anorexia. Rectal temperature was 105.7 F. A complete blood count (CBC) was unremarkable. Serum chemistry abnormalities included marked elevation (too high to register) of alanine aminotransferase (ALT) and mild elevation of alkaline phosphatase (ALP) (128 IU/L; range 14-111 IU/L). Abdominal radiographs showed gas accumulation in the small intestine. An abdominal ultrasound showed a flaccid, fluid-filled stomach, hypermotile duodenum, and mild thickening of the colon wall. Treatment with ampicillin and supportive care was initiated. Fever and vomiting resolved, but anorexia continued and the patient became progressively depressed and developed ataxia and visual and proprioceptive deficits. After 48 hours, a repeat CBC was performed; the cat had thrombocytopenia (84 Â 1...