Diagnostic exercise: hemolysis and sudden death in lambs

Vet Pathol. 2014 May;51(3):624-7. doi: 10.1177/0300985813501339. Epub 2013 Aug 26.

Abstract

Within a 24-hour period, 7 out of 200 three- to four-week-old pastured Katahdin lambs died after showing clinical signs of hemoglobinuria, red-tinged feces, weakness, and recumbency. One of the lambs that was examined clinically before natural death also had abdominal pain, trembling, tachycardia, and severe anemia with a packed cell volume of 4%. Pathologic findings included icterus, hemoglobinuric nephrosis, dark red urine, pulmonary edema, hydrothorax, splenomegaly, and acute centrilobular to midzonal hepatocellular degeneration and necrosis with cholestasis. The differential diagnoses and diagnostic workup to achieve the diagnosis are briefly discussed.

Keywords: Clostridium perfringens type D; alpha toxin; hemoglobinuria; icterus; yellow lamb disease.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Clostridium perfringens*
  • Death, Sudden / etiology
  • Death, Sudden / pathology
  • Death, Sudden / veterinary*
  • Diagnosis, Differential
  • Enterotoxemia / diagnosis*
  • Enterotoxemia / pathology
  • Fatal Outcome
  • Gastrointestinal Contents
  • Hemoglobinuria / veterinary
  • Hemolysis / physiology*
  • Histological Techniques / veterinary
  • Hydrothorax / pathology
  • Hydrothorax / veterinary
  • Immunohistochemistry / veterinary
  • Jaundice / pathology
  • Jaundice / veterinary
  • Liver / microbiology
  • Lung / microbiology
  • Nephrosis / pathology
  • Nephrosis / veterinary
  • Pulmonary Edema / pathology
  • Pulmonary Edema / veterinary
  • Sheep
  • Sheep Diseases / diagnosis*
  • Sheep Diseases / microbiology*
  • Sheep Diseases / pathology*
  • Splenomegaly / pathology
  • Splenomegaly / veterinary