Most animals are susceptible to Quercus poisoning, although cattle and sheep are affected most often. Most species of oak (Quercus spp) found in Europe and North America are considered toxic. Clinical signs occur 3–7 days after consumption of large quantities of young oak leaves in the spring or green acorns in the fall. Fallen trees associated with a recent storm are often reported with outbreaks. Feed restriction before exposure plays a crucial role enhancing susceptibility. Mortality as high as 70% may be seen. Malformed calves and abortions have been reported in dams consuming acorns during the second trimester of pregnancy. The toxic principle, which appears to be pyrogallol, gallotannins, polyhydroxyphenolic compounds, or their metabolites produced by microbial hydrolysis in the rumen, binds and precipitates proteins, which results in GI and renal dysfunction.
Signs include anorexia, depression, emaciation, brisket edema, dehydration, rumen stasis, tenesmus, smell of ammonia on the breath, serous ocular or nasal discharge, polydipsia, polyuria, hematuria, icterus, and constipation followed by mucoid to hemorrhagic diarrhea. Renal insufficiency, which is evident 4–6 days after exposure, may be characterized by increased BUN and creatinine, proteinuria, glucosuria, hyperbilirubinuria, hyperphosphatemia, hypocalcemia, and urine with a low specific gravity. Pale swollen kidneys characterized by coagulative necrosis of the proximal convoluted tubular cells, perirenal edema, subcutaneous edema, ascites, and hydrothorax are common necropsy findings. Edema and subserosal petechial or ecchymotic hemorrhage of intestinal mucosa and ulceration of the esophagus and rumen may be seen. Evidence of hepatotoxicity characterized by increased liver enzymes may also be present.
Diagnosis is based on clinical findings, necropsy, history, and histopathologic examination of the kidney (ie, nephrosis). Other common diseases that resemble oak poisoning include pigweed (Amaranthus spp) poisoning, aminoglycoside antibiotic poisoning, oxalate poisoning, and ochratoxicosis.
Consumption of a pelleted ration supplement (1 kg/head/day) containing 10%–15% calcium hydroxide plus access to more palatable feeds may be used as a preventive measure if exposure to acorns or oak leaves cannot be avoided. Calcium hydroxide, activated charcoal, ruminatorics, and purgatives (such as mineral oil [1 L/500 kg], sodium sulfate [1 kg/400 kg], or magnesium sulfate [450 g/400 kg]) may be effective antidotes if administered early in the course of disease. Polyethylene glycol (1 g/kg/day) administered in the feed or water will bind tannins and reduce tissue damage. Fluid therapy to correct dehydration and acidosis and transplantation of ruminal microflora may be beneficial. Clinical recovery usually occurs within 60 days but is rare if renal dysfunction is severe. Improved range management to limit grazing in immature oak stands will prevent development of the syndrome.