NAVLE Multisystemic

Equine Insect Toxicity Study Guide

Insect toxicosis represents a critical category of equine poisoning that practitioners must recognize rapidly.

Overview and Clinical Importance

Insect toxicosis represents a critical category of equine poisoning that practitioners must recognize rapidly. Two primary insect-related toxicoses dominate NAVLE content: cantharidin toxicosis (blister beetle poisoning) and Mare Reproductive Loss Syndrome (MRLS) associated with Eastern tent caterpillar ingestion. Both conditions can cause severe morbidity and mortality, making early recognition and intervention essential.

These toxicoses represent distinctly different pathophysiological mechanisms: cantharidin acts as a direct vesicant causing mucosal damage and electrolyte derangements, while tent caterpillar setae penetrate tissues and introduce bacteria systemically.

Species Common Name Geographic Distribution
Epicauta vittata Striped blister beetle Eastern and central US
Epicauta fabricii Ashgray blister beetle Eastern North America
Epicauta cinerea Clematis/Margined blister beetle Eastern US to Great Plains
Epicauta floridensis Florida blister beetle Southeastern US
System Pathology Clinical Manifestation
Gastrointestinal Mucosal erosion, ulceration, hemorrhage from lips to colon Colic, oral lesions, diarrhea, water dunking behavior
Urinary Hemorrhagic cystitis, renal tubular damage Stranguria, pollakiuria, hematuria
Cardiovascular Myocardial necrosis, hypovolemic shock Tachycardia, weak pulse, prolonged CRT
Metabolic Calcium and magnesium sequestration/loss Hypocalcemia, hypomagnesemia, synchronous diaphragmatic flutter

Part I: Blister Beetle Toxicosis (Cantharidin Poisoning)

Etiology and Epidemiology

Cantharidin toxicosis results from ingestion of blister beetles (family Meloidae), which contain the toxic compound cantharidin. More than 200 species exist in the continental United States, with the genus Epicauta most commonly implicated in equine poisoning cases.

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