Cocklebur toxicosis  results from ingestion of the dicotyledonary stage or seedling stage of the common cockleburs.  Cocklebur are ubiquitous throughout North America and can be fatal when consumed by livestock  via pasture, feed contamination with  bur seeds, in hay, or while grazing crop residues.  Cases of cocklebur poisoning have been reported  from cattle, sheep, swine and poultry. 
            Plant  characteristics:  The common cocklebur belongs to the genus Xanthium, with the most common species in the Midwest being Xanthium strumarium.  Cocklebur is an annual plant  that grows in many soil types including floodplains, moist rich soils such as  shorelines of ponds and reservoirs, and disturbed soils of feedlots.  Variation in morphology is common among  cocklebur species, and they grow to an  approximate mature size of 3-5 feet (1-1.5 cm) and usually have dark  brown to purple spotted, stout stems.   The plants have large, rough, glandular,triangular to shovel-shaped leaves with  three main veins from the leaf base and;  measure 2-14” (5-35.5 cm) long and 1-8” (2.5-20 cm) wide.  The female flowers are larger than the male  flowers, and form a 3/4” (1.5 cm) egg-shaped bur near the base of the  plant.  Each bur contains two seeds which  can stay dormant in the soil for many years.   Intoxications with cocklebur are most common in the spring and summer  following periods of rain coupled with warmer temperatures that encourage  germination of the seeds.  Pigs,  ruminants, and horses are all susceptible to cocklebur toxicosis, especially in the early spring  following germination of seeds and grazing in fields where the highly palatable young plants may be  present. 
            Toxic  principle: Carboxyactractyloside (CAT),   sulfated glycoside, is the principle toxin in cocklebur plants.  CAT is structurally similar to adenosine diphosphate and, therefore, inhibits ADP  translocase on the cytosolic side of the mitochondrial membrane.  Inhibition of ADP translocase activity leads  to diminished transport of ADP  into the mitochondria and, hence, decreased oxidative phosphorylation and ATO  formation.  CAT is concentrated in  embryonic and cotyledonary tissues of the cocklebur plant, resulting in the  seed and two leaf cotyledonary stage of the plant being the most  poisonous.  While the toxin remains  potent when these portions of the plant are preserved in hay, CAT is not  present in the four-leaf stage and mature  plant.  Witte et al reported death in 6  of 70 yearling calves that had been fed round bale hay of foxtail and mature  cocklebur plants.   Cocklebur seeds can  also contaminate grains used in concentrate rations fed to livestock. 
            Clinical  signs:  Consumption of as little as 0.75% of body  weight of cotyledonary portions can cause death, with clinical signs occurring  a few hours post cocklebur sprout or seed ingestion.The most commonly   reported clinical signs of cocklebur  intoxication in pigs and cattle include depression, weakness, anorexia,  reluctance to move, opisthotonus, ataxia, hyperexcitability,spasmodic muscular activity, and an  unusual gait with erect ears and head held high.  Recumbency, paddling of limbs, convulsions  followed by coma, and death can occur within hours to days of consumption.  Onset of clinical signs is usually delayed in  cattle with a functional rumen as  compared to non-ruminants. 
            Pathology:   Burrows and Tyrl report that distinct      clinical pathology changes include a ten-fold or greater increase in the  serum concentration of the liver  enzymes AST and SDH accompanied by a marked hypoglycemia to as low as 10  mg/dl, especially in calves. Grossly,serosanguinous ascites, proteinaceous  pericardial and pleural effusions, a swollen and  congested liver, edema of the gall  bladder wall, hepatic capsule, and subserosa of the small intestine along with  fibrin tags on visceral surfaces are commonly   present. 
            The most characteristic histologic lesion is  severe, diffuse, centrilobular hepatocellular necrosis.  Other lesions include para-central hepatic  necrosis, renal tubular necrosis, and inconsistent neuronal  degeneration and cerebral edema. 
            Prior to discovery of the CAT toxin and its  related signs, reported lesions from cocklebur consumption included oral ulcers  and other mechanical injury along with excessive salivation.  As long haired dogs, cattle and sheep groomed  burs out of their coats, spines or other parts of the bur would break off and  traumatize oral mucosa resulting in ulcers similar to those caused by grass  awns.  Additionally, the bur remnants  could become embedded in granulation tissue, making    visualization of the foreign particles  difficult and potentiating  subsequent distant draining wounds or abscesses. 
            Diagnosis:   Diagnosis of cocklebur intoxication is based on the combination of  evidence of consumption of cocklebur cotyledonary tissues and/or burs in    stomach contents, clinical signs,  characteristic  histopathologic  lesions, and clinical pathology findings.   Conklin and Hooser both report that diagnostic tests, including assays  for CAT such as thin layer     chromatography (TLC) reported in literature, have not produced reliable,  repeatable results and, thus, no practical diagnostic test for cocklebur  intoxication exists at this time. 
            Treatment:   Carboxyatractyloside is a potent toxin that disrupts cellular function,  and no treatment exists to antagonize the ADP/ATP mitochondrial imbalance  caused by CAT.  Supportive treatments  reported in the literature, while helpful, are not curative and include  increasing GI motility and clearance of the toxin with mineral oil and  neostigmine, offering fatty substances with milk and lard to prevent  absorption, and giving activated charcoal as an absorbent (not in concert with  fatty substances).  IV glucose can be  administered to counteract the severe hypoglycemia.  Use of  neostigmine or physostigmine IM has  been reported to temporarily alleviate muscular problems and, as such, can be a  diagnostic aid. 
  Populations of Xanthium spp. plants should be  eliminated with mowing, cultivation, and/or  herbicide use to most effectively prevent cocklebur intoxication. 
            Case  Report:  In July 2003, a case of cocklebur    toxicosis was diagnosed at ADDL in a herd  of cattle in Indiana  where 29 of 98 yearling calves died.   While some animals were found dead, others exhibited    depression, anorexia, muscle tremors,  ataxia,  aggression, became  recumbent and died within a few hours of showing clinical signs.  Lesions reported    included a swollen liver with acute diffuse  centrilobular necrosis.  Many intact  burs, along with partially   ruminated corn shucklage, were present in the rumen.  Histologically, marked centrilobular  necrosis,   hemorrhage and  congestion were evident in the liver.   Diagnosis of cocklebur intoxication was made based on evidence of  exposure found at necropsy along with characteristic clinical signs, clinical  pathology, and histologic findings in affected cattle.  Cocklebur plants with burs had contaminated  the primarily corn     shucklage ration  fed to the animals.  The producer  reportedly continued to feed this ration to the remaining animals; however,  prior to feeding, placed large tube socks over his boots and walked through  the    bur-contaminated shucklage.  If burs were collected via attachment to the  socks, that portion of the feed was discarded. 
            Sample  collection with a suspected toxicosis: Recall that if a toxicosis of any  kind is suspected and the toxin/toxicant is unknown, it is important to obtain  a complete history and perform a thorough physical  examination and/or necropsy.  If the animal is alive freeze and save all  available vomitus and urine, 5 ml of whole blood in both red top clot and  purple top EDTA tubes.  Serum should be  collected and stored in a plastic tube.   At necropsy, fix representative tissues in 10% neutral buffered  formalin.  Save samples for   virology, bacteriology or other ancillary  tests if        appropriate, and freeze  and save the following tissues: liver (100g), stomach/rumen contents (100g or  all available), brain (1/2 if organophosphate toxicosis is suspected), kidney  (1/2), urine (all available), and an eyeball or ocular fluid (if nitrate  toxicosis is suspected).  A minimum of  one pound of feed and one quart of  water  should also be submitted for toxicologic   examination. 
            -by  Emily Blough, Class of 2007 
            -edited  by Dr. Dinesh Singh, ADDL Graduate Student  
            References: 
            
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 Burrows GE and RJ Tyrl: 2001.   Toxic Plants of North America.  Iowa  State Press, Ames, Iowa 
               
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 Conklin B: (undated): FSO Project: A Year in Review.  Development of New Thin Layer  Chromatography (TLC) Testing Methods for  Diagnosing Cocklebur Poisoning in Livestock.   Obtained from Dr. Steve Hooser, Purdue ADDL      Toxicologist, June, 2006. 
               
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 Hooser SB: Fall,  2005.  Applied Food Animal and Equine  Toxicology Class Notes.  CPB 518 
               
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 Hooser SB:  2006.  personal communication 
               
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 Knight AP and RG  Walter: 2001.  A Guide to Plant Poisoning  of Animals in North America.  Teton NewMedia, Jackson, Wyoming 
               
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 McGavin MD et  al: 2001.  Thomson’s Special Veterinary  Pathology, 3rd ed., St. Louis:  Mosby 
                 
               
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Isweuker GD:  1996.  The National Veterinary medical  Series for Independent Study:        Toxicology.   Williams and Wilkins, Philadelphia,   PA 
               
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 Purdue  Extension: 2004.  Forage Field Guide, West Lafayette, IN 
               
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 Radostits OM et  al: 2000.  A Textbook of the Diseases of  Cattle, Sheep, Pigs, Goats and Horses, 9th ed., W.B. Saunders, New York. 
               
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 Smith BO:  2002.  Large Animal Internal      Medicine, 3rd ed, St. Louis, Mosby. 
               
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 Stiles PI:  2003.  Investigation of Multiple Deaths  in a Beef Cattle Herd.  Purdue University   School of Veterinary  Medicine Research Seminar,   November 6. 
               
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 Witte ST et al:  1990.  Cocklebur toxicosis in cattle  associated with the consumption of      mature Xanthium  strumarium. J Vet Diag  Invest 2(4): 263-7.  
               
                         
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