“…2,16 Acute bovine pulmonary emphysema and edema (ABPEE), 5,7,13,23,31,37 fog fever, 6 acute respiratory distress syndrome (ARDS), and AIP have been applied to the IP that results from excessive conversion of L-tryptophan to 3-methylindole (3-MI) by ruminal microbes when cattle on a poor plane of nutrition are abruptly given access to lush forage. 5,7,13,23,37 Conversion of circulating 3-MI to a pneumotoxic metabolite (3-methyleneindolenine) by cytochrome P450 enzymes in Clara cells and type II alveolar epithelial cells results in necrosis of bronchiolar and alveolar epithelium and subsequent IP. 3,18,21 This fairly predictable syndrome usually affects multiple animals and will be referred to as pasture-associated IP in this report, to distinguish it from feedlot IP, which occurs unpredictably, sporadically, is usually not associated with dietary change, and is of unknown causation.…”