NAVLE Multisystemic

Feline Ingestion of Poisonous Plants – NAVLE Study Guide

Plant toxicosis represents a significant cause of morbidity and mortality in cats, with lilies (Lilium and Hemerocallis species) being the most dangerous and frequently tested plant toxin on the NAVLE.

Overview and Clinical Importance

Plant toxicosis represents a significant cause of morbidity and mortality in cats, with lilies (Lilium and Hemerocallis species) being the most dangerous and frequently tested plant toxin on the NAVLE. Cats are uniquely susceptible to certain plant toxins, and the ASPCA Animal Poison Control Center reports that plant ingestions consistently rank among the top ten toxin exposures in felines. Understanding the clinical presentation, pathophysiology, and treatment of plant toxicoses is essential for every veterinarian.

High-YieldLily toxicosis is the single most important plant poisoning to know for the NAVLE. When you see a cat with acute kidney injury and a history of indoor plant access or floral bouquet exposure, ALWAYS think lilies first!
Common Name Scientific Name Notes
Easter Lily Lilium longiflorum Most common; holiday bouquets
Tiger Lily Lilium lancifolium Orange with black spots
Asiatic Lily Lilium asiaticum Various colors; common in gardens
Stargazer Lily Lilium orientalis Pink with dark spots; fragrant
Day Lily Hemerocallis species Landscaping plants; outdoor exposure
Japanese Show Lily Lilium speciosum Also called Rubrum lily

Section 1: Lily Toxicosis - The Most Critical Plant Poisoning

Toxic Lily Species

The Lilium and Hemerocallis genera contain species that cause acute nephrotoxicity in cats. All parts of these plants are toxic, including petals, leaves, pollen, and even the water in the vase.

Nephrotoxic Lilies (TRUE Emergency)

Non-Nephrotoxic "Lilies" (Different Toxin Profiles)

NAVLE TipThe NAVLE loves to test your ability to differentiate TRUE nephrotoxic lilies (Lilium/Hemerocallis) from plants with "lily" in their name that cause different toxidromes. Remember: Peace lily and Calla lily = calcium oxalate = oral irritation. Lily of the Valley = cardiac glycosides = arrhythmias. Only TRUE lilies cause acute kidney injury!

Pathophysiology of Lily Nephrotoxicity

The exact nephrotoxic compound in lilies remains unidentified, but research has confirmed it is a water-soluble compound present in all parts of the plant. The aqueous fraction of flowers is more potent than leaf extract. The toxin is rapidly absorbed from the GI tract and targets the renal tubular epithelium, specifically the proximal convoluted tubules.

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