Comparison of two heavy metal chelators for treatment of lead toxicosis in cockatiels

Mary C. Denver Veterinary Medical Teaching Hospital, University of California, Davis, CA 95616.
present address is Medical Department, Baltimore Zoo, Druid Hill Park, Baltimore, MD 21217.

Search for other papers by Mary C. Denver in
Current site
Google Scholar
PubMed
Close
 DVM
,
Lisa A. Tell Departments of Medicine and Epidemiology, University of California, Davis, CA 95616.

Search for other papers by Lisa A. Tell in
Current site
Google Scholar
PubMed
Close
 DVM
,
Francis D. Galey School of Veterinary Medicine, and California Veterinary Diagnostic Laboratory System, University of California, Davis, CA 95616.
present address is Department of Veterinary Sciences, University of Wyoming, Laramie, WY 82070.

Search for other papers by Francis D. Galey in
Current site
Google Scholar
PubMed
Close
 DVM, PhD
,
John G. Trupkiewicz Departments of Pathology, Microbiology, and Immunology, University of California, Davis, CA 95616.
present address is Department of Pathology, Philadelphia Zoo, 3400 W Girard Ave, Philadelphia, PA 19104.

Search for other papers by John G. Trupkiewicz in
Current site
Google Scholar
PubMed
Close
 DVM
, and
Philip H. Kass Departments of Population, Health and Reproduction, University of California, Davis, CA 95616.

Search for other papers by Philip H. Kass in
Current site
Google Scholar
PubMed
Close
 DVM, PhD

Abstract

Objective—To compare efficacy and safety of meso- 2,3-dimercaptosuccinic acid (DMSA) and Ca EDTA for treatment of experimentally induced lead toxicosis in cockatiels ( Nymphicus hollandicus).

Animals—137 (69 females, 68 males) healthy cockatiels between 6 months and 8 years old.

Procedure—Lead toxicosis was induced by placing lead shot in the gastrointestinal tract. Treatment with Ca EDTA (40 mg/kg of body weight, IM, q 12 h), DMSA (40 or 80 mg/kg, PO, q 12 h), and sodium sulfate salts (SSS; 0.5 mg/kg, PO, q 48 h) was initiated 4 days after induction of lead toxicosis. Blood lead concentrations were determined, using atomic absorption spectrophotometry. Number of birds surviving and blood lead concentrations were compared among groups.

Results—In Phase II of the study, administration of DMSA and Ca EDTA significantly decreased blood lead concentrations when used alone or in combination in birds with lead toxicosis. Addition of SSS did not result in further decreases in lead concentrations. Eight of 12 (66.7%) birds without lead toxicosis given 80 mg of DMSA/kg did not survive to the end of the study . Lesions related to treatment with chelating agents were not detected during necropsy.

Conclusions and Clinical Relevance—DMSA and Ca EDTA are effective chelating agents in cockatiels. Because DMSA is administered orally, it may be easier than other chelating agents for bird owners to administer at home. However, the narrow margin of safety of DMSA indicates that this agent should be used with caution. (Am J Vet Res 2000;61:935–940)

Abstract

Objective—To compare efficacy and safety of meso- 2,3-dimercaptosuccinic acid (DMSA) and Ca EDTA for treatment of experimentally induced lead toxicosis in cockatiels ( Nymphicus hollandicus).

Animals—137 (69 females, 68 males) healthy cockatiels between 6 months and 8 years old.

Procedure—Lead toxicosis was induced by placing lead shot in the gastrointestinal tract. Treatment with Ca EDTA (40 mg/kg of body weight, IM, q 12 h), DMSA (40 or 80 mg/kg, PO, q 12 h), and sodium sulfate salts (SSS; 0.5 mg/kg, PO, q 48 h) was initiated 4 days after induction of lead toxicosis. Blood lead concentrations were determined, using atomic absorption spectrophotometry. Number of birds surviving and blood lead concentrations were compared among groups.

Results—In Phase II of the study, administration of DMSA and Ca EDTA significantly decreased blood lead concentrations when used alone or in combination in birds with lead toxicosis. Addition of SSS did not result in further decreases in lead concentrations. Eight of 12 (66.7%) birds without lead toxicosis given 80 mg of DMSA/kg did not survive to the end of the study . Lesions related to treatment with chelating agents were not detected during necropsy.

Conclusions and Clinical Relevance—DMSA and Ca EDTA are effective chelating agents in cockatiels. Because DMSA is administered orally, it may be easier than other chelating agents for bird owners to administer at home. However, the narrow margin of safety of DMSA indicates that this agent should be used with caution. (Am J Vet Res 2000;61:935–940)

All Time Past Year Past 30 Days
Abstract Views 143 0 0
Full Text Views 2247 1888 60
PDF Downloads 439 175 11
Advertisement