Milk fever in the cow--course of disease in relation to the serum activity of aspartate aminotransferase, alanine aminotransferase, creatine kinase and gamma-glutamyltransferase.

The serum activity of aspartate aminotransferase (ASAT), alanine aminotransferase (ALAT), creatine kinase (CK), and gamma-glutamyltransferase (GGT) was determined at the time of first and subsequent treatments in milk fever cows which responded differently to treatment, and in a number of healthy, periparturient cows. Serum ASAT, ALAT and CK levels were lower in the healthy cows than in the milk fever cows at first treatment. Serum ASAT and serum CK were, at first treatment, higher in the milk fever cows which did not recover than in those which recovered. At second and subsequent treatments, serum ASAT and serum ALAT were higher in the cows which failed to recover, and these cows also showed the highest levels of serum CK up-to and including fourth treatment. After an overall assessment of serum activity of the various enzymes, it is concluded that muscle damage was a significant complication both in cows which recovered and in those which failed to recover, while liver damage was of little importance.