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Intas Polivet 21 (1): 120-121 Short Communication

Diagnosis and Management of Water Intoxication in a Buffalo calf


Neha Rao1, J.J. Parmar and A.I. Shah
Veterinary Clinical Complex
College of Veterinary Science and Animal Husbandry
Anand Agricultural University (AAU)
Anand - 388001 (Gujarat)

Abstract
Water intoxication occurs due to rapid ingestion of large amount of water by young calves results in intravascular
hemolysis, hemoglobinemia and hemoglobinuria. A six-month-old buffalo calf was presented with frequent episodes of
hemoglobinuria within two hours of drinking large amount of water. Clinical examination revealed normal body temperature,
mild tachycardia, pale mucosa and normal appetite. Hematobiochemical estimation revealed reduced hemoglobin
concentration (5.1 gm%), TEC (3.54 million/dl), HCT (19.00%), TLC (6200/dl), MCV (53.8fl), MCHC (26.8 gm%), RDW
(16.4%), Platelets (520000/ cmm), elevated SGPT (98 IU/L), Total Proteins (5.69 gm/dl), Serum Creatinine (0.63 mg/dl),
Serum Calcium (9.59 mg/dl), Serum Phosphorus (4.2 mg/dl), Serum Sodium (130 mEq/L), Serum Chloride (92 mEq/L) and
Blood Glucose (66 mg/dl). Hemoglobin, hematocrit, Serum Sodium and Serum Chloride levels were reduced. The buffalo
calf was successfully treated with Inj. Furosemide@1 mg/kg body weight to promote diuresis. The urine color became
normal within two hours. The owner was advised to add salt in feed and to provide free access to water to calves.
Hematinic were given for controlling anemia.
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Keywords: Calf; hyponatremia; intoxication; management; water


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Introduction examination was found negative for hemoprotozoa


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Water intoxication or acute dilutional hyponatremia and endoparasites respectively. Hemato-


is a condition when rapid ingestion of large amount biochemical estimation of blood revealed reduced
of water by young calves with normal sodium hemoglobin concentration (5.1gm%), TEC (3.54
concentration results in intravascular hemolysis, millions/dl), HCT (19.00%), TLC (6200/dl), MCV
hemoglobinemia and hemoglobinuria. It is (53.8fl), MCHC (26.8 gm%), RDW (16.4%), platelets
commonly observed in animals that are subjected (520000/cmm), elevated SGPT (98 IU/L), Total
to severe exercise or high environmental proteins (5.69 gm/dl), Serum creatinine (0.63 mg/
temperature. Naturally occurring cases has been dl), Serum calcium (9.59 mg/dl), Serum phosphorus
recorded in sheep, pigs, camels, calves (Gilchrist et (4.2 mg/dl), Serum sodium (130 mEq/L), Serum
al.,1996) and adult cattle. There is no case report chloride (92 mEq/L), Blood glucose (66 mg/dl).
available on water intoxication in India. Thus, this Hemoglobin, hematocrit, serum sodium and
paper presents a first reported case of water chloride levels were reduced. On the basis of history,
intoxication in a buffalo calf. clinical symptoms and hematobiochemical findings,
the case was diagnosed as water intoxication in
History and Clinical Observations buffalo calf.
A six month old buffalo calf was brought with
complaint of passing red urine. Detailed clinical Treatment
history revealed there were frequent episodes of red The buffalo calf was treated with Inj. Furosemide @
urine within two hours of drinking large amount of 1 mg/ kg b. wt. to promote diuresis. The urine colour
water. The calf passed red urine for two hours after became normal within two hours. The owner was
ingestion of large amount of water. On clinical advised to add salt in feed and provide free access
examination, calf appeared active and alert with to water to calves. Hematinic were given for anemia.
normal body temperature, mild tachycardia, pale There was no re-occurrence observed.
mucosa and normal appetite. There were no
ectoparasites and blood as well as faecal Discussion
Water intoxication or acute dilutional hyponatremia
1. Assistant Professor and Corresponding author. is a condition when rapid ingestion of large amount
E-mail: neharao@aau.in of water by young calves with normal sodium

120
Rao et al.

concentration results in intravascular hemolysis, throughout day and avoidance of water for few
hemoglobinemia and hemoglobinuria. It is minutes immediate after exercise or work.
considered that excessive water ingestion causes
References
temporary extreme drop in plasma osmotic pressure
Binev, R. (2010). A clinical case of water intoxication in
in capillary veins of intestinal wall, where calves. Journal of Mountain Agriculture on the Balkan
intravascular hemolysis may occur (Shimizu et (Bulgaria). 13: 41-58.
al.,1979). In our case, the calf had similar symptoms
with hemoglobinuria. Binev (2010) reported similar Gilchrist, F. (1996). Water intoxication in weaned beef
calves. Can. Vet. J. 37: 490-91.
symptoms to present findings. Gilchrist (1996) also
reported the water intoxication in calves and found Shimizu, Y., Naito, Y. and Murakami, D. (1979). The
almost similar hematobiochemical parameters and experimental study on the mechanism of hemolysis on
response to treatment which favors the findings and paroxysmal hemoglobinemia and hemoglobinuria in calves
diagnosis in our case. The water intoxication can be due to excessive water intake. Nihon Juigaku Zasshi. 41:
prevented by providing ad lib drinking water 583-92.
Received on: 27.09.2019
Accepted on: 02.12.2019
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Dr. Ravindran, KVASU honoured with INSA Teachers Award’ 2020


Dr. Reghu Ravindran, Associate Professor, Department of Veterinary Parasitology,
College of Veterinary Animal Sciences, Kerala Veterinary and Animal Sciences
University (KVASU), Pookode was honoured with prestigious Indian National
Science Academy (INSA) Teachers Award, 2020.
Indian National Science Academy (INSA) has instituted the INSA Teachers award
to recognize and value excellence, consistency and high level of teaching in
Indian Colleges, Universities and Institutions. The award aims to recognize and
honour teachers who have provided guidance, inspiration and mentored students to take o take up
careers in Science and Technology.
INSA has recognised Dr. Ravindran, a Molecular Veterinary Parasitologist for his inspirational teaching-
mentoring, inculcating scientific curiosity and enabling innovative research at undergraduate level and
revolutionising Veterinary education and research.

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