Preview

International Journal of Veterinary Medicine

Advanced search

Pathomorphological picture of anaphylactic drug shock in piglets caused by iron preparations

https://doi.org/10.52419/issn2072-2419.2026.1.261

Abstract

This study presents the results of a postmortem examination of three 4-day-old piglet carcasses that died following the intramuscular administration of the ironcontaining drug Erytrofer 200 at a preventive dose of 1 ml. The aim of the research is to draw the attention of veterinary specialists to the problem of postmortem diagnosis of drug-induced anaphylactic shock caused by the parenteral administration of iron preparations. The materials were based on protocols of forensic veterinary examinations of three cases of drug-induced anaphylactic shock with lethal outcomes. During the autopsy, the following pathological diagnoses were established: staining of surrounding tissues, edema and focal necrosis of muscles at the injection site; staining of regional lymph nodes; myocardial dystrophy ("paralytic heart"); acute congestive hyperemia of the membranes and cerebral edema; acute congestive hyperemia and pulmonary edema; edema of the subcutaneous tissue, lymph nodes, and mesentery of the large intestine; acute congestive hyperemia of the liver and spleen; edema and protein degeneration of the kidneys; petechial hemorrhages on the serous membrane of the colon and the renal cortex; anemia of the mucous membranes and muscle tissue. It was determined that the death of the animals occurred due to anaphylactic shock induced by the administration of the iron-containing drug. The immediate cause of death was cardiac paralysis resulting from acute heart failure and hypoxic conditions, exacerbated by cerebral and pulmonary edema. The injection site in the neck region contributed to the development of a hyperergic inflammatory reaction with edema of the surrounding tissues.
The research materials include descriptions of the gross pathology of the external integuments and internal organs. The paper presents photographs of the piglets' organs with pathological changes characteristic of drug-induced anaphylactic shock provoked by the use of Erytrofer 200.

About the Authors

M. V. Koshkarev
Omsk State Agrarian University named after. P.A. Stolypin
Russian Federation

Candidate of Veterinary Sciences, Associate Professor of the Department of Anatomy, Physiology, Histology and  Pathological Anatomy



T. V. Boyko
Omsk State Agrarian University named after. P.A. Stolypin
Russian Federation

Doctor of Veterinary Sciences, Associate Professor, Head of the Department of Diagnostics, Internal Non–infectious Diseases, Pharmacology, Surgery and Obstetrics



A. S. Lyubimova
Omsk State Agrarian University named after. P.A. Stolypin
Russian Federation

 asp. 



References

1. Süveges T, Glávits R. Piglet losses due to parenteral application of iron-dextran preparations. Acta Vet Acad Sci Hung. 1976;26 (3):257-62. PMID: 829758.

2. Arpi, T., Tollerz, G. Iron Poisoning in Piglets Autopsy Findings in Experimental and Spontaneous Cases. Acta Vet Scand 6, 360–373 (1965). https://doi.org/10.1186/BF03547093.

3. Otravlenie novorozhdennykh porosyat zhelezom [Elektronnyi resurs]: po materialam S. B. Khuzena (Kolledzh veterinarnoi meditsiny Universiteta Perdue) / per. A. Romanenko // Direct.Farm. – Rezhim dostupa: https://direct.farm/post/otravleniyenovorozhdennykh-porosyat-zhelezom-28355 (data obrashcheniya: 20.08.2025). (In Russ.)

4. Klinicheskii sluchai: otravlenie zhelezom u porosyat [Elektronnyi resurs] / J. Borobia // Pig333.ru: ot fermy k rynku. – 10.02.2020. – Rezhim dostupa: https://www.pig333.ru/articles/klinicheskii-sluchaiotravlenie-zhelezom-u-porosyat_3249/ (data obrashcheniya: 10.09.2025). (In Russ.)

5. Gerunova, L. K. O monitoringe bezopasnosti lekarstvennykh preparatov dlya zhivotnykh / L. K. Gerunova, T. V. Boiko, I. S. Polozova, M. B. Nikiforova // Effektivnoe zhivotnovodstvo – zalog uspeshnogo razvitiya APK regiona: sbornik materialov Mezhdunarodnoi nauchno-prakticheskoi konferentsii, Omsk, 06 dekabrya 2017 goda. – Omsk: Omskii gosudarstvennyi agrarnyi universitet imeni P.A. Stolypina, 2017. – S. 143-147. – EDN YUKKFI. (In Russ.)

6. Ob obrashchenii lekarstvennykh sredstv: federal'nyi zakon ot 12 apr. 2010 g. № 61-FZ: prinyat Gos. Dumoi 24 marta 2010 g.: odobr. Sovetom Federatsii 31 marta 2010 g.: [red. ot 23 iyulya 2025 g.]. – Dostup iz sprav.-pravovoi sistemy «Konsul'tantPlyus». (In Russ.)

7. Korovina N. A. and others. Prevention and treatment of iron deficiency conditions in children: what is the goal in the treatment of iron deficiency anemia? What determines the bioavailability of iron from food? Which iron preparations should preferably be used in children? //The attending physician. – 2004. – Vol. 1. – pp. 24-9.

8. Kudryashov, A. A. Patomorfologicheskie izmeneniya v meste in"ektsii preparate zheleza u svinei / A. A. Kudryashov, V. I. Balabanova, D. S. Ktitarov, S. L. Efremov, I. A. Ovchenkov // Aktual'nye voprosy veterinarnoi biologii. – 2021. – № 2 (50). – Rezhim dostupa: https://cyberleninka.ru/article/n/patomorfologicheskie-izmeneniya-v

9. -meste-inektsii-preparata-zheleza-u-sviney (data obrashcheniya: 16.09.2025). (In Russ.)

10. Kudryashov, A. A. Rezul'taty autopsii porosyat grup dorashchivaniya i otkorma na dvukh svinovodcheskikh fermakh promyshlennogo tipa / A. A. Kudryashov, V. I. Balabanova, T. P. Maksimov // Mezhdunarodnyi vestnik veterinarii. – 2019. – № 1. – S. 38-43. – EDN CHBSQZ. (In Russ.)

11. Shinkarenko, A. N. Patomorfologiya razlichnykh klinicheskikh proyavlenii anafilakticheskogo lekarstvennogo shoka u sobak / A. N. Shinkarenko, K. S. Bykova // Veterinarnaya patologiya. – 2011. – T. 4, № 38. Rezhim dostupa: https://cyberleninka.ru/article/n/patomorfologiya-razlichnyhklinicheskih-proyavleniy-anafilakticheskogo-lekarstvennogo-shoka-u-sobak (data obrashcheniya: 20.08.2025). (In Russ.)

12. Baranova V.I. Otravleniya preparatami zheleza [Iron Drug Poisoning]. In: Illarionova E.A., editor. Aktual'nye voprosy farmatsevticheskikh i estestvennykh nauk: sbornik statei Vserossiiskoi nauchnoprakticheskoi konferentsii studentov i molodykh uchenykh s mezhdunarodnym uchastiem [Current Issues of Pharmaceutical and Natural Sciences: Collection of Articles of the All-Russian Scientific and Practical Conference of Students and Young Scientists with International Participation]; 2023 May 23-28; Irkutsk. Irkutsk: Irkutskii gosudarstvennyi meditsinskii universitet; 2022. p. 143-145. (In Russ.).

13. Mazgaj R., Lipiński P., Starzyński R. R. Iron Supplementation of Pregnant Sows to Prevent Iron Deficiency Anemia in Piglets: A Procedure of Questionable Effectiveness. International Journal of Molecular Sciences. 2024;25(7):4106. doi: 10.3390/ijms25074106

14. Gromova O.A., Torshin I.Yu., Khadzhidis A.K. Undesirable Effects of Iron Sulfate in Obstetric, Pediatric and Therapeutic Practice. Zdorov'e vsei sem'i [Health of the Whole Family]. 2010;(2). Available from: https://cyberleninka.ru/article/n/nezhelatelnye-effekty-sulfata-zheleza-vakusherskoy-pediatricheskoy-iterapevticheskoy-praktike (accessed: 19.09.2025). (In Russ.).

15. Andreichev N.A., Baleeva L.V. Iron Deficiency Conditions and Iron Deficiency Anemia. Vestnik sovremennoi klinicheskoi meditsiny [Bulletin of Modern Clinical Medicine]. 2009;(3). Available from: https://cyberleninka.ru/article/n/zhelezodefitsitnyesostoyaniya-i-zhelezodefitsitnaya-anemiya (accessed: 19.09.2025). (In Russ.).

16. Instruktsiya po primeneniyu veterinarnogo preparata «Eritrofer 200» [Instructions for Use of the Veterinary Drug "Eritrofer 200"]. Veterinarnye preparaty – ofitsial'nyi sait Beleka baі [Veterinary Drugs - the Official Website of Beleka baі]. Available from: https://beleka.by/upload/iblock/252/Instruktsiya-Eritrofer-200-ot-23.12.20.pdf (accessed: 19.09.2025). (In Russ.).

17. Astaf'eva N.G., Nenasheva N.M. Chapter 13. Allergicheskie zabolevaniya. 13.1. Anafilaksiya [Chapter 13. Allergic Diseases. 13.1. Anaphylaxis]. In: Chuchalin A.G., editor. Respiratornaya meditsina: rukovodstvo [Respiratory Medicine: A Guide]. In 5 vol. Vol. 4. 3rd edition, supplemented and revised. Moscow: OOO «PUL'МОМЕDIА»; 2024. p. 445-476. doi: 10.18093/978-5-6052509-1-3-2024-4-445-476 (In Russ.).

18. Novik G.A. Mekhanizmy allergicheskikh reaktsii i metody allergoobsledovaniya v klinicheskoi praktike [Mechanisms of Allergic Reactions and Methods of Allergy Examination in Clinical Practice]. Study guide. Ed. by I.M. Vorontsov. Saint Petersburg: Izdatel'stvo GПМА; 2004. 76 p. (In Russ.).

19. Korobova S.I., Spirin A.V. Problema postmortal'noi diagnostiki lekarstvennogo anafilakticheskogo shoka v sudemeditsinskoi praktike (po materialam povtornykh komissionnykh sudemeditsinskikh ekspertiz) [The Problem of Postmortem Diagnosis of Drug Anaphylactic Shock in Forensic Medical Practice (Based on Materials from Repeated Commission Forensic Medical Examinations)]. In: Aktual'nye voprosy sovremennoi meditsinskoi nauki i zdravookhraneniya: sbornik statei IX Mezhdunarodnoi nauchnoprakticheskoi konferentsii molodykh uchenykh i studentov [Current Issues of Modern Medical Science and Healthcare: Collection of Articles of the IX International Scientific and Practical Conference of Young Scientists and Students]; 2024 Apr 17-18; Yekaterinburg. In 2 vol. Vol. 1. Yekaterinburg: UGMU; 2024. p. 1004-1009. (In Russ.).


Review

For citations:


Koshkarev M.V., Boyko T.V., Lyubimova A.S. Pathomorphological picture of anaphylactic drug shock in piglets caused by iron preparations. International Journal of Veterinary Medicine. 2026;(1):261-274. (In Russ.) https://doi.org/10.52419/issn2072-2419.2026.1.261

Views: 86

JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2072-2419 (Print)