Parenteral selenium (Se) and vitamin E (Vit E) were administered to all newborn kids at a Boer goat farm where there was previous high neonatal mortality assumed to be due to nutritional myopathy. All treated kids were affected by severe respiratory distress and died within 8 hours of Se/Vit E administration. Gross lesions included severe pulmonary edema, hydrothorax, and hydropericardium. The primary histopathologic finding was severe, acute, and monophasic myocardial contraction band necrosis. The diagnosis was accidental acute selenosis based on trace mineral analysis of the liver. This case highlights an important differential diagnosis in cases of acute myocardial contraction band necrosis and sudden death in goats and emphasizes the need for caution when administering parenteral Se/Vit E preparations.Keywords goats, hydrothorax, myocardial degeneration and necrosis, selenosis, sudden death
History and Gross FindingsThree 1-day-old Boer goat kids (one singleton [No. 1] and 1 set of twins [No. 2 and No. 3]) were submitted for postmortem examination to Prairie Diagnostic Services Inc at the Western College of Veterinary Medicine in Saskatoon, Saskatchewan, Canada, with a history of severe respiratory signs rapidly progressing to death. Ataxia had also been observed. The herd consisted of 150 does, and the referring veterinarian reported high mortality on the farm in the previous year, with loss of approximately 50% of neonatal kids. The mortality was attributed to nutritional myopathy, based on areas of acute myocardial necrosis visualized microscopically and the location of the farm in a selenium-deficient area. However, the diagnosis of nutritional myopathy was not confirmed, as tissues were unavailable for selenium (Se) and vitamin E (Vit E) analysis. At the time of the current submission, all does were supplemented with selenium in the feed (rate unknown), and at birth, kids were injected intramuscularly with 0.5 ml of a commercial Se/Vit E preparation containing 3 mg/ml sodium selenite and 136 IU/ml dl-a-tocopherol acetate (Dystosel, Pfizer Canada Inc, London, Canada). In the current year, 4 kids had been born, and all 4 had died within 8 hours of parturition. Three carcasses were submitted for postmortem examination.The carcasses weighed 3-4 kg each and were in good nutritional condition with no evidence of dehydration. The lungs of all 3 animals had severe diffuse edema evidenced by heavy, wet lungs that had failed to collapse; stable white froth in the major airways; and variably distended interlobular septa containing clear fluid (Fig. 1). Areas of red mottling were observed in the caudal lung lobes and were interpreted to be areas of hemorrhage (Fig. 1). Kids No. 2 and No. 3 had 40 ml of clear, straw-colored fluid within the thoracic cavity representing hydrothorax. Similar fluid was in the pericardial sac, which was minimally distended. The amount of fluid within the pericardium was not measured but was interpreted to be mildly increased. Diffuse hepatic congestion was observed in all 3 ani...