WATERBORNE DISEASES UNIT Harmful Algal Bloom Facts for Veterinarians What are cyanobacteria (bluegreen algae) and cyanotoxins? Algal blooms, often found in warm, nutrient-rich water, are sometimes made up of cyanobacteria, commonly called bluegreen algae. Cyanobacterial blooms are often described as looking like pea soup or spilled green paint. Blooms can also produce an offensive odor when the cells decompose. Some cyanobacteria can produce toxins, called cyanotoxins that affect the liver or nervous system. Microcystin, a hepatotoxin, is the primary cyanotoxin identified in Minnesota lakes. What is a harmful algal bloom (HAB)? Harmful algal blooms (HAB) are cyanobacterial algal blooms containing toxins, which can pose harmful health risks. Not all cyanobacterial blooms produce toxins, but it is impossible to tell if a bloom is toxic or not just by looking at it; laboratory tests are required. Since cyanotoxins can be lethal to animals even in small amounts, caution should always be taken when a bloom occurs. Advise your clients, “When in doubt, stay out.” Where and when are HABs found? Cyanobacteria can be found everywhere in Minnesota, but thrive in warm, shallow, nutrient-rich lakes commonly found in central and southern Minnesota. Blooms usually occur during late summer and early fall, but can occur in early summer if conditions are right. How can an animal be exposed? Animals can be exposed when they drink from, swim in, or lick fur or hair containing toxic water or algae. Animals are more likely than humans to be exposed because they do not always naturally avoid entering and ingesting green, foul-smelling water. For this reason, animals are commonly used as sentinels for human illness. What treatment options are available? There are no specific antidotes to these toxins. Treatment is symptomatic and supportive. Inducing vomiting within the first 2 hours of ingestion can help minimize absorption of ingested toxins. Activated charcoal slurry may be useful to bind toxins in the gut and reduce absorption. Liver function should be monitored, and animals should be aggressively treated with fluids and corticosteroids to support liver function and prevent shock. Neurologic symptoms may require seizure control and ventilator support. Case reports have suggested that cholestyramine may be effective at treating microcystin poisoning, but this treatment is considered experimental. Milk thistle (Silybum mariamum) has also been used intravenously for general liver protection; this is also experimental. (January 2017) Page 1 of 2 Cyanotoxin Exposure and Clinical Information Toxin Exposure Route Onset to Symptoms Neurotoxins Anatoxin-a Anatoxin-a(s) Saxitoxins Dermatotoxins Aplysiatoxin Lyngbyatoxin-a Hepatotoxins Cylindrospermopsins Microcystins Nodularins Likely Symptoms Differential Diagnosis 1 to 2 hours, or more Acute depression Weakness & incoordination Loss of appetite Excessive drooling Vomiting & diarrhea Abdominal tenderness Jaundice Dark urine Ingestion Minutes to hours Skin contact Minutes to hours Excessive drooling Apprehension & anxiousness Vomiting Muscle twitching Seizures Respiratory failure Rash Hives Allergic reaction Acetaminophen Nonsteroidal antiinflammatories Aflatoxin Mushrooms Sago/cycad palm Metals: copper, zinc, iron Xylitol (dogs only) Rodenticides Other hepatotoxins Organophosphates Carbamates Chlorinated hydrocarbon Bromethalin Metaldehyde Mushrooms Other neurotoxins Other dermal allergens Ingestion Possible Laboratory or Other Findings Elevated bile acids & liver enzymes Hypoglycemia Proteinuria Prolonged clotting times Presence of toxin in biological specimens (liver, stomach contents, stool) collected from animals that became ill Blue-green staining of fur or hair Presence of toxin in biological specimens (stomach contents, urine, serum) collected from animals that became ill Blue-green staining of fur or hair Blue-green staining of fur or hair Notes: Information about health effects from exposure to cyanobacteria and toxins is derived from reports of animal poisonings. For more information see the Merck Veterinary Manual. To better understand the incidence and geographic distribution of HAB-related illnesses in Minnesota, we request veterinarians report suspected cases of HAB-related illness to the MDH Waterborne Diseases Unit. If you have questions or comments please contact us at: 651-201-5414 or toll free 1-877-676-5414. Minnesota Department of Health Waterborne Diseases Unit PO Box 64975, St. Paul, MN 55164 651-201-5414 or 1-877-676-5414 www.health.state.mn.us To obtain this information in a different format, call: 651-201-5414. (January 2017) Page 2 of 2
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