Blood electrolytes changes in peritonitis of cattle.

Peritonitis is an inflammation of the peritoneal cavity and is one of the main causes of animal deaths. It has been reported that many diseases such as peritonitis cause electrolyte imbalance in the body. The present study has been conducted to evaluate the serum electrolyte concentration in cattle with peritonitis. In order to perform this study, 45 cattle with peritonitis were selected in the Karaj area, and 20 healthy cattle were used as the control group. After diagnosis of peritonitis in the infected cattle, 10-ml blood samples were taken from the jugular vein, the concentrations of calcium, phosphorus, magnesium, and chloride were estimated using the spectrophotometric method, and sodium and potassium concentrations were assessed by a flame photometer device. The results showed that the concentrations of calcium, magnesium, sodium, potassium, and chloride in cattle affected with peritonitis were reduced compared with the control group, but the differences were not statistically significant. The concentration of phosphorus in the peritonitis-infected cattle was significantly higher than in the healthy cattle. On the basis of the results of the present study, it can be concluded that inflammation of the peritoneal cavity in cattle causes blood electrolyte deterioration, and more attention needs to be focused on this factor in the treatment of infected animals.

Introduction

Internal adhesions of the abdominal cavity resulting from peritonitis are one of the main sources of disease and death in dairy cattle (Cornelis et al. 2009). Peritonitis, inflammation of the peritoneal cavity, may be localized or generalized and may be chronic or acute (Andrews et al. 2004). Pathogenesis of peritonitis is correlated with conditions such as severe inflammation, adhesion, and spoilage of tissue (Herzog et al. 2004). Peritonitis is a very common syndrome reported by many countries and might be a result of disorganization of small farms, nonstandard management, and unhealthy nutrition. As it causes an extreme reduction in milk production and an increasing number of deaths in cattle, peritonitis is financially a very important disease (Radostits et al. 2007). Peritonitis usually occurs along with other diseases often due to traumatic reticulitis (Andrews et al. 2004). Escherichia coli is the most common cause of peritoneum bacterial infection (Demling et al. 1993). Peritonitis often occurs in adult dairy cattle but rarely happens in young cattle, beef, or feedlot bovine (Radostits et al. 2007). Maintaining electrolytes in appropriate amounts is essential for normal biochemical and physiological functions of the body. Electrolytes are distributed in body fluids and play a key role in all parts of animal life (Kaneko et al. 2008). Many diseases (such as peritonitis) cause a change in fluids and electrolyte balance (Radostits et al. 2007; Smith 2009). The aim of the present study is to assess the serum levels of calcium (Ca), phosphorus (P), magnesium (Mg), sodium (Na), potassium (K), and chloride (Cl) in cattle with peritonitis and compare these with those of healthy cattle.

Materials and methods

Study design

After thorough clinical examination and paraclinical confirmation, 45 cattle suspected of suffering from peritonitis in the Karaj area (in the center of Iran near the capital, Tehran) were selected in this research. Twenty normal and healthy cattle without peritonitis infection were selected as control group. Infected cattle were mostly in the age range of 2–6 years and were reared traditionally. The clinical signs of infected cattle were observed and recorded. Peritonitis in infected cattle was confirmed by synthesis of the peritoneal cavity with properly disinfected procedures (Andrews et al. 2004; Radostits et al. 2007; Smith 2009). The obtained peritoneal fluid in the infected animals was a dark yellow color bubbled fluid in 84.44% and a pink fluid in 15.55%. All the samples were transferred to the laboratory for bacteriologic culture and cellular analysis (Table 2).

Table 2

Biochemical and cellular analysis of peritoneal fluid of cattle with peritonitis (mean ± SD)

Cellular change mounts	Total protein (g/dl)	Specific gravity (SPG)	Total RBC (×106/μl)	Total WBC (×106/μl)	Differential leukocyte
					Macro. (%)	Lym. (%)	Neu. (%)
Mean ± SD	4.12 ± 0.8105	1.027 ± 0.0151	0.1060 ± 0.0364	6.92 ± 1.3516	71.40 ± 6.7675	18.80 ± 7.498	7.80 ± 3.1144
Maximum	5.10	82.00	0.15	9.10	1.04	26.00	12.00
Minimum	3.00	1.01	0.05	5.50	64.00	11.00	5.00

Collection of blood samples

Two blood samples were collected from each animal by jugular vein puncture into acid-washed polyethylene tubes: one with EDTA (as an anticoagulant) for hematologic analyses and the other one without anticoagulant for biochemical (electrolytes) analyses. Samples containing EDTA were transferred to the laboratory on ice. Blood samples for biochemical analysis were allowed to clot, and serum was extracted by centrifugation at 2,000×g for 10 min within 2 h after collection. Sera were stored at −20°C for a short period until analysis.

Hematologic and biochemical analysis

Hematological parameters including white blood cell (WBC) count, total protein, and fibrinogen concentrations were measured by routine procedures (Jain 1986). WBC measurement was carried out using manual standard method (Jain 1993). Differential leukocyte counts were performed on routinely prepared Giemsa-stained blood smears using the cross-sectional technique (Jain 1993). Serum Ca, P, and Mg concentrations were determined by commercial reagent kits (ZiestChem Diagnostics, Tehran, Iran) using an automated autoanalyzer (Shimadzu Model AA 6200, Tokyo, Japan); serum Cl concentration was determined by atomic absorption spectrophotometer. Atomic absorption was measured at 570 nm for Ca, 630 nm for P, 520 nm for Mg, and 480 nm for Cl. Na and K values were obtained with the use of a flame photometer (Jenway, PFP 7 Clinical, Essex, England).

Statistical analysis

The SPSS package (version 15) was used for hematology and biochemical data analysis. After testing normal distributions of the data, parametric independent t test was used to investigate significant differences between control and infected groups at P < 0.05.

Results

Clinical findings

Daily clinical examinations revealed that 45 cattle had signs of peritonitis infection of variable severity. Clinical symptoms included reduction in cattle appetite (100%), increase in body temperature (77.77%), increased heart rate (73.33%), increased respiratory rate (71.11%), reduction in milk production (97.77%), the presence of pain in the abdominal area when palpated (93.33%), weight loss (88.88%), and reluctance to move (66.66%).

Hematological and biochemical findings

Mean values of blood (including hematologic and biochemical indices) and peritoneal fluid parameters in cattle with peritonitis are shown in Tables 1 and 2. As can be seen in Table 1, there is an increase in the WBC and neutrophil counts, as well as total protein and fibrinogen concentrations in the infected cattle with peritonitis. The results of the analyses for Ca, P, Mg, Na, K, and Cl are shown in Table 3. The concentrations of Ca, Mg, Na, K, and Cl in infected cattle were 8.317 ± 1.389 mg/dl, 1.770 ± 0.436 mg/dl, 137.667 ± 2.517 meq/L, 3.933 ± 0.513 meq/L, and 95.333 ± 8.145 meq/L, respectively, which are less than those of the control group, but the differences were not statistically significant (P > 0.05). At the same time, the phosphorus level in the infected group slightly increased (6.533 ± 0.968 mg/dl) compared to that of the control group, but this difference was not also significant statistically (P > 0.05).

Table 1

Mean values of hematologic and serum protein and fibrinogen concentrations in cattle with peritonitis (mean ± SD)

Blood cell mounts	WBC	Neu. band	Neu. Seg.	Lymphocyte	Plasma protein	Fibrinogen
Mean ± SD	11,476.92 ± 8,709.87	204.23 ± 302.38	7,868.30 ± 8,097.42	3,281.00 ± 1,095.31	7.23 ± 1.25	1.01 ± 1.64
Maximum	29,200.0	1,014.0	25,112.0	5,075.0	9.80	6.40
Minimum	2,300.0	0	897.0	1,357.0	6.00	0.30

Table 3

Mean serum concentrations of minerals and electrolytes in cattle with and without peritonitis (mean ± SD)

Electrolyte mounts	Calcium (mg/dl)		Phosphorus (mg/dl)		Magnesium (mg/dl)		Sodium (meq/L)		Potassium (meq/L)		Chloride (meq/L)
	Control	Infected	Control	Infected	Control	Infected	Control	Infected	Control	Infected	Control	Infected
Mean ± SD	9.20 ± 0.47	8.31 ± 1.38	6.20 ± 0.51	6.53 ± 0.96	1.90 ± 0.077	1.77 ± 0.43	140.60 ± 3.05	137.66 ± 2.51	4.34 ± 0.32	3.93 ± 0.51	102.60 ± 3.05	95.333 ± 8.14
Maximum	9.80	9.92	6.80	7.63	1.97	2.07	145.0	140.0	4.80	4.50	106.0	101.0
Minimum	8.60	7.50	5.50	5.80	1.77	1.27	137.0	135.0	4.0	3.0	99.0	86.0

Discussion

Keeping electrolytes in body size and scale suitable for biochemical and physiological actions is necessary for a normal body. Electrolytes are distributed in body fluids and play a vital role in all stages of animal life (Kaneko et al. 2008). Most electrolytes lose their balance in digestive system disorders. There are many diseases of farm animals in which there are disturbances of body fluids (free water), electrolytes, and acid–base balance. A disturbance of the body water balance in which more fluid is lost from the body than is absorbed results in a reduction in circulating blood volume and in dehydration of the tissues. Electrolyte imbalances commonly occur because of a loss of electrolytes, shift of certain electrolytes, or relative changes in concentrations due to loss of water (Radostits et al. 2007). Calcium plays a central role in maintaining homeostasis of animals, including muscle contraction, blood coagulation, enzyme activity, neural excitability, hormone secretion, and cell adhesion, in addition to being an essential structural component of the skeleton (Capen and Rosol 1993). Calcium is also involved in the pathogenesis of metabolic diseases that disrupt the normal regulation of its balance and may result in hypercalcemia or hypocalcemia (Chew et al. 1992). Reduction in the calcium level of blood cells might occur in the dairy cows that had anorexia for a couple of days (Radostits et al. 2007). Infectious diseases that cause anorexia such as peritonitis can cause reduction in the calcium level of blood (Smith 2009). Decreased calcium concentration in cattle with peritonitis in the present study compared to the control group was due to anorexia. Phosphate is the main intracellular anion and has many metabolic functions such as muscle contraction, delivery of oxygen to tissues, bone integrity, and energy metabolism (Dennis 1996). Serum phosphorus values principally reflect current dietary intake (Whitaker et al. 1998). This could be due to differences in the chemical composition of the ingested feed. Phosphorus resumption increases during animal growth, lactation, and pregnancy (Lotscher et al. 1996; Silverstein et al. 1996). Phosphorus has a close connection with Ca (Radostits et al. 2007) which enhances blood P level due to the reaction between P and the Ca ions, as concentrations of ionized Ca in serum are reduced (Kaneko et al. 2008). Therefore, the reduced concentration of Ca in a patient’s serum can be due to the band with P and, in this research, the level of P is higher in infected cattle compared to the control group, which could result from food intake containing high P. Magnesium is an essential element for animal nutrition (McDowell 1992). Hypomagnesemia is often accompanied and complicated by hypocalcemia (Smith 2009). Rumen Mg absorption may be increased by lowering the pH (which increases Mg solubility) and decreased by microbial sequestration (Kennedy and Bunting 1991). Plasma Mg concentration may be related to lipolysis during stress, cold, or starvation and is reduced during those situations (Rayssiguier 1984). Hypomagnesemia can also result in hypokalemia refractory to K supplementation (Smith 2009). Thus, in this research, the reduction of the Mg level in the patient group compared to the control group is due to malnutrition and anorexia resulting from peritonitis. Na has the highest number of ions in the extracellular fluid and is often responsible for maintaining the osmotic pressures of the extracellular fluid. The most common causes of hyponatremia are lack or an inadequate level of dietary sodium and decreased Na absorption in the intestines which is caused by enteropathy (Radostits et al. 2007). Changes in relative water content tend to produce proportional changes in plasma Na and Cl concentrations (Leaf 1962), whereas acid-based alterations are often associated with disproportionate changes in plasma Cl concentration (Saxton and Seldin 1996). Hyponatremia is often, but not invariably, associated with conditions that cause Na depletion such as vomiting, diarrhea, and excessive sweat loss. No sodium or chloride has been lost from the body, and the observed decreases in the electrolyte concentration are caused by changes in the relative water balance. Alteration in the Cl concentration is usually associated with similar proportional changes in the Na concentration as the result of changes in relative water balance (Scribner 1969; Smith 2009). A proportionate decrease in Cl relative to Na is characteristically seen in diarrhea, blood loss, and sweat (Smith 2009). Accumulation of fluids containing Na in body cavities or the intestinal tract is a result of peritoneal inflammation (Rose 1984) that reduces plasma content followed by a reduction in serum Na concentration due to kidney responses which keep the water from being excreted (Smith 2009). Some of the most common reasons responsible for the reduction in serum Na and Cl levels are peritoneal inflammation, ascites, and diarrhea (Smith 2009). Decreasing Cl without decreasing the proportion of Na can be followed by metabolic alkalosis such as abomasal torsion and vagus indigestion (Smith 2009). As is obvious in the current study, peritonitis causes a reduction in Na and Cl levels due to the inflammation process. Potassium serum level does not always reflect K balance but is affected by factors that change the internal balance and those that change external balance (Brobst 1986; Patrick 1997; Rose 1984). Hypokalemia may result from depletion of the body’s K store or from a redistribution of K from the ECF into the ICF space (Brobst 1986). Changes in K concentration occur in a wide range of clinical conditions. Reduction in blood K level commonly occurred along with changes in food intake and absorption of K such as ileus, peritonitis, diarrhea, and vomiting (Smith 2009). It is known that low Mg levels result in low K; thus, the decrease of K seen in infected cattle (P > 0.05) might be the result of lower Mg levels (Abdelrahman et al. 2002; Greene et al. 1983; Rude and Oldham 1990). Chronic lack of K in food intake can also result in a reduction in the K level of the blood (Aitken 1976; Dow et al. 1987). In the current study, the reduction in K was also caused by both the extreme loss of K through the digestive system on the one hand and that resulting from anorexia caused by an inflammation on the other.

Conclusion

On the basis of the results of the present study, it can be concluded that inflammation of the peritoneal cavity in cattle causes blood electrolyte deterioration and requires greater attention in the treatment of infected animals. Thus, the compounds containing the aforementioned ions must be used for treatment to balance the level of ions in blood serum in order to prevent further consequences.