Struvite
Encyclopedia
Struvite is a phosphate mineral with formula: NH4MgPO4·6H2O. Struvite crystallizes in the orthorhombic system as white to yellowish or brownish-white pyramidal crystals or in platey mica
Mica
The mica group of sheet silicate minerals includes several closely related materials having highly perfect basal cleavage. All are monoclinic, with a tendency towards pseudohexagonal crystals, and are similar in chemical composition...

-like forms. It is a soft mineral with Mohs hardness of 1.5 to 2 and has a low specific gravity
Specific gravity
Specific gravity is the ratio of the density of a substance to the density of a reference substance. Apparent specific gravity is the ratio of the weight of a volume of the substance to the weight of an equal volume of the reference substance. The reference substance is nearly always water for...

 of 1.7. It is sparingly soluble in neutral and alkaline conditions, but readily soluble in acid.

Struvite urinary stones and crystals form readily in the urine of animals and humans that are infected with ammonia-producing organisms. They are potentiated by alkaline urine and high magnesium excretion (high magnesium/plant-based diets). They also are potentiated by a specific urinary protein, in domestic cats.

Name

Struvite was first described from medieval sewer systems
Sanitary sewer
A sanitary sewer is a separate underground carriage system specifically for transporting sewage from houses and commercial buildings to treatment or disposal. Sanitary sewers serving industrial areas also carry industrial wastewater...

 in Hamburg
Hamburg
-History:The first historic name for the city was, according to Claudius Ptolemy's reports, Treva.But the city takes its modern name, Hamburg, from the first permanent building on the site, a castle whose construction was ordered by the Emperor Charlemagne in AD 808...

 Germany
Germany
Germany , officially the Federal Republic of Germany , is a federal parliamentary republic in Europe. The country consists of 16 states while the capital and largest city is Berlin. Germany covers an area of 357,021 km2 and has a largely temperate seasonal climate...

 in 1845 and named for geographer and geologist Heinrich Christian Gottfried von Struve (1772-1851).

Occurrence

Struvite is occasionally found in canned seafood, where its appearance is that of small glass slivers, objectionable to consumers for aesthetic reasons but of no health consequence. It is also a problem in sewage
Sewage
Sewage is water-carried waste, in solution or suspension, that is intended to be removed from a community. Also known as wastewater, it is more than 99% water and is characterized by volume or rate of flow, physical condition, chemical constituents and the bacteriological organisms that it contains...

 and waste water treatment, particularly after anaerobic digesters release ammonium and phosphate from waste material, as it forms a scale on lines and clogs system pipes. Recovery of phosphorus from wastestreams as struvite and recycling those nutrients into agriculture as fertilizer
Fertilizer
Fertilizer is any organic or inorganic material of natural or synthetic origin that is added to a soil to supply one or more plant nutrients essential to the growth of plants. A recent assessment found that about 40 to 60% of crop yields are attributable to commercial fertilizer use...

 appears promising, particularly in agricultural manure and municipal waste water treatment plants.

Use of struvite as an agricultural fertilizer was in fact first described in 1857.

Struvite kidney stones

Struvite precipitates in alkaline urine
Urine
Urine is a typically sterile liquid by-product of the body that is secreted by the kidneys through a process called urination and excreted through the urethra. Cellular metabolism generates numerous by-products, many rich in nitrogen, that require elimination from the bloodstream...

, forming stones. Struvite is the most common mineral found in urinary tract stones in dogs, and is found also in urinary tract stones of cats and humans. Struvite stones are potentiated by bacterial infection that hydrolyzes urea
Urea
Urea or carbamide is an organic compound with the chemical formula CO2. The molecule has two —NH2 groups joined by a carbonyl functional group....

 to ammonium
Ammonium
The ammonium cation is a positively charged polyatomic cation with the chemical formula NH. It is formed by the protonation of ammonia...

 and raises urine pH
PH
In chemistry, pH is a measure of the acidity or basicity of an aqueous solution. Pure water is said to be neutral, with a pH close to 7.0 at . Solutions with a pH less than 7 are said to be acidic and solutions with a pH greater than 7 are basic or alkaline...

 to neutral or alkaline values. Urea-splitting organisms include Proteus
Proteus (bacterium)
Proteus is a genus of Gram-negative Proteobacteria.-Clinical significance:Three species—P. vulgaris, P. mirabilis, and P. penneri—are opportunistic human pathogens. Proteus includes pathogens responsible for many human urinary tract infections. P. mirabilis causes wound and urinary...

, Pseudomonas
Pseudomonas
Pseudomonas is a genus of gammaproteobacteria, belonging to the family Pseudomonadaceae containing 191 validly described species.Recently, 16S rRNA sequence analysis has redefined the taxonomy of many bacterial species. As a result, the genus Pseudomonas includes strains formerly classified in the...

, Klebsiella
Klebsiella
Klebsiella is a genus of non-motile, Gram-negative, oxidase-negative, rod-shaped bacteria with a prominent polysaccharide-based capsule. It is named after the German microbiologist Edwin Klebs...

, Staphylococcus
Staphylococcus
Staphylococcus is a genus of Gram-positive bacteria. Under the microscope they appear round , and form in grape-like clusters....

, and Mycoplasma
Mycoplasma
Mycoplasma refers to a genus of bacteria that lack a cell wall. Without a cell wall, they are unaffected by many common antibiotics such as penicillin or other beta-lactam antibiotics that target cell wall synthesis. They can be parasitic or saprotrophic. Several species are pathogenic in humans,...

.

Even in the absence of infection, accumulation of struvite crystals in the urinary bladder
Urinary bladder
The urinary bladder is the organ that collects urine excreted by the kidneys before disposal by urination. A hollow muscular, and distensible organ, the bladder sits on the pelvic floor...

 is a problem frequently seen in housecats
Cat
The cat , also known as the domestic cat or housecat to distinguish it from other felids and felines, is a small, usually furry, domesticated, carnivorous mammal that is valued by humans for its companionship and for its ability to hunt vermin and household pests...

, with symptoms including difficulty urinating (which may be mistaken for constipation
Constipation
Constipation refers to bowel movements that are infrequent or hard to pass. Constipation is a common cause of painful defecation...

) or blood in the urine (hematuria
Hematuria
In medicine, hematuria, or haematuria, is the presence of red blood cells in the urine. It may be idiopathic and/or benign, or it can be a sign that there is a kidney stone or a tumor in the urinary tract , ranging from trivial to lethal...

). The protein cauxin
Cauxin
Cauxin is a peptidase that is excreted in large amounts in cat urine. Cauxine has been shown to hydrolyze 3-methylbutanol-cysteinylglycine in the urine into felinine which then slowly degrades into the putative cat pheromone 3-mercapto-3-methylbutan-1-ol .Cauxin protein from feline urine was...

, a protein excreted in large amounts in cat urine that acts to produce a feline pheromone, has recently been found to cause nucleation of struvite crystals in a model system containing the ions necessary to form struvite. This may explain some of the excess struvite production in domestic cats. In the past, surgery has been required to remove struvite uroliths in cats; today, special acidifying low magnesium diets may be used to dissolve sterile struvite stones.

Upper urinary tract stones that involve the renal pelvis and extend into at least 2 calyces are classified as staghorn calculi. Although all types of urinary stones can potentially form staghorn calculi, approximately 75% are composed of a struvite-carbonate-apatite matrix.

Struvite enteroliths

Struvite is a common mineral found in enterolith
Enterolith
An enterolith is a mineral concretion or calculus formed anywhere in the gastrointestinal system. Enteroliths are uncommon and usually incidental findings but, once found, they require at a minimum watchful waiting...

s (intestinal concretions) in horses.

External links

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