Drug Toxicity: Overview
Drug Toxicity: Risk factors
Drug Toxicity: Dose-Dependent Reactions
Drug toxicity: Idiosyncratic Reactions
Drug toxicity: Drug–Drug Interaction
Drug Toxicity: Allergic Reactions
You might also read
Articles linked to this work by shared authors, journal, and citation graph.
Updated: Jul 4, 2026

Ferric Chloride-induced Canine Carotid Artery Thrombosis: A Large Animal Model of Vascular Injury
Published on: September 7, 2018
Angela Wilcox1, Karen E Russell
1Department of Veterinary Pathobiology, Texas A&M University, College Station, TX 77843-4467, USA.
This report describes a young dog that ingested a large quantity of Adderall, leading to severe symptoms including high fever and rapid heart rate. Blood tests revealed unusual cellular changes, such as the presence of immature red blood cells and altered white blood cells. The patient received supportive care and made a full recovery. Researchers propose that the extreme body temperature caused damage to bone marrow and blood cells, explaining these specific hematologic findings.
Area of Science:
Background:
No prior work had resolved the specific hematologic manifestations following canine amphetamine ingestion. Prior research has shown that stimulant medications can induce severe physiological stress in domestic animals. That uncertainty drove clinicians to investigate how pharmaceutical overdoses impact blood cell morphology. It was already known that extreme hyperpyrexia often leads to systemic cellular damage in mammals. This gap motivated a detailed examination of blood parameters in a patient with suspected drug toxicity. Previous studies established that heat-induced illness can cause significant alterations in circulating blood cell populations. Researchers lacked clear documentation regarding the timeline of these specific cellular abnormalities in clinical settings. The current report addresses these missing observations by documenting a case of accidental pharmaceutical exposure.
Purpose Of The Study:
This report aims to document the hematologic changes associated with Adderall toxicity in a canine patient. The researchers sought to characterize the specific cellular abnormalities resulting from a pharmaceutical overdose. This investigation addresses the lack of information regarding how stimulants impact blood cell morphology in dogs. The team intended to correlate the patient's severe hyperpyrexia with observed hematologic findings. By tracking these changes, the authors hoped to clarify the underlying pathology of drug-induced systemic stress. The study provides a detailed account of the clinical presentation and subsequent recovery of the animal. This work serves to inform veterinary practitioners about potential diagnostic markers in similar poisoning cases. The authors aimed to compare these findings with existing knowledge of heat-induced illness in animals.
Main Methods:
The clinical team conducted a retrospective review of a single canine patient case. Review approach involved analyzing initial emergency presentation data and subsequent laboratory findings. Clinicians recorded vital signs including temperature, heart rate, and respiratory frequency upon admission. The diagnostic process relied on serial Complete Blood Count evaluations to monitor blood cell morphology over time. Researchers tracked the presence of nucleated red blood cells and neutrophil characteristics throughout the recovery period. The team compared these longitudinal observations against established literature regarding heat-induced physiological stress. This systematic documentation allowed for the correlation between clinical symptoms and hematologic outcomes. The study design focused on characterizing the temporal resolution of specific cellular abnormalities following supportive intervention.
Main Results:
Key findings from the literature indicate that the patient exhibited 48 nucleated red blood cells per 100 white blood cells upon arrival. The dog presented with a severe body temperature of 41.7 degrees Celsius and a heart rate of 192 beats per minute. Initial laboratory analysis revealed mild leukopenia and mild thrombocytopenia, while the hematocrit remained at 39.9 percent. The clinical team observed moderate numbers of hypersegmented neutrophils and pyknotic cells in the peripheral blood. These specific neutrophil abnormalities resolved completely within 8 hours of the initial presentation. Conversely, the metarubricytosis persisted for a total duration of 56 hours before disappearing. The patient showed no signs of anemia despite the presence of immature red blood cells. Supportive care measures resulted in an uneventful recovery for the animal.
Conclusions:
The authors propose that the observed metarubricytosis resulted from damage to the bone marrow endothelium caused by hyperpyrexia. This synthesis suggests that the rapid release of immature red blood cells is a secondary effect of thermal stress. The researchers indicate that neutrophil hypersegmentation and pyknosis likely reflect accelerated aging or direct injury to circulating cells. These findings imply that stimulant-induced toxicity shares clinical features with heat stroke pathology. The clinical team observed that these specific hematologic abnormalities resolved within a relatively short timeframe during recovery. The report highlights that supportive care remains a viable strategy for managing such acute pharmaceutical poisoning cases. Authors conclude that monitoring blood cell morphology provides insight into the systemic impact of severe drug-induced fever. This review confirms that hematologic changes in this context are transient and linked to the patient's thermal status.
The researchers propose that hyperpyrexia causes bone marrow endothelial damage, triggering premature release of immature red blood cells. Simultaneously, the stimulant induces rapid aging or direct injury to neutrophils, leading to the observed hypersegmentation and pyknosis in peripheral circulation.
The clinicians utilized a Complete Blood Count (CBC) to identify specific cellular markers. This diagnostic tool revealed a hematocrit of 39.9%, mild leukopenia, and mild thrombocytopenia, alongside the presence of 48 nucleated red blood cells per 100 white blood cells.
The authors suggest that the extreme body temperature of 41.7 degrees Celsius was necessary to induce the observed bone marrow and neutrophil damage. This thermal threshold mirrors the physiological stress levels typically seen in cases of severe heat stroke.
Nucleated red blood cells served as a critical indicator of bone marrow stress. These cells persisted in the bloodstream for 56 hours, providing a measurable timeline for the duration of the underlying endothelial injury caused by the drug.
The researchers measured the duration of cellular abnormalities, noting that hypersegmentation and pyknotic neutrophils disappeared within 8 hours. In contrast, the metarubricytosis lasted significantly longer, persisting for 56 hours after the initial presentation at the clinic.
The authors conclude that stimulant-induced toxicity mimics the hematologic profile of heat-induced illness. They suggest that clinicians should anticipate these transient blood cell changes when managing patients presenting with severe hyperpyrexia following pharmaceutical ingestion.