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Cicuta virosa L. Cowbane, Water hemlock - Manson Publishing

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<strong>Cicuta</strong> <strong>virosa</strong> L. <strong>Cowbane</strong>, <strong>Water</strong> <strong>hemlock</strong><br />

<strong>Cowbane</strong> is one of the most poisonous<br />

plants because of its poly-yne content<br />

and, for that reason, its extermination<br />

has been the subject of official<br />

regulations. In addition to cicutoxin and<br />

cicutol, which are held responsible for<br />

the toxic effect, other C 17 poly-ynes<br />

occur, amongst them falcarindiol [1] that<br />

occurs widely in the family. All parts of<br />

the plant are highly toxic when fresh,<br />

particularly the underground organs<br />

(Figure 9) whose smell is reminiscent of<br />

42 Apiaceae<br />

parsnips or celery. On drying, the polyynes<br />

are largely destroyed (at least in the<br />

outer layers of the tissue). In a case of<br />

suicide described by BERNDT [2], it was<br />

evidently chewing dried cowbane roots<br />

that lead to the death. Horses after being<br />

given 500 g of the dried herbage have<br />

died within 15 hours [3]. Further poisonings<br />

have occurred in animals: ponies<br />

[4], cows [5]. As the poly-yne content in<br />

the aerial parts of the plant is very low<br />

up to the summer months, these are not<br />

Fig. 8: <strong>Cicuta</strong> <strong>virosa</strong> – <strong>Cowbane</strong>.<br />

A herb, 1.0–1.5 m high, with hollow stems<br />

(and petioles) and tuberous, thickened,<br />

chambered rhizomes (see Fig. 9).<br />

A water or marsh plant at the edges of<br />

ponds or river banks, usually in shallow<br />

water.<br />

Leaves: bi- to tri-pinnatisect; lower ones<br />

long-petiolate, upper ones short-petiolate<br />

or sessile; often doubly serrate; variable,<br />

depending on local habitat conditions, e.g.<br />

apex of leaf segments linear and sparsely<br />

serrated.<br />

Flowers: staminate or androgynous,<br />

white, with equal petals, in stalked umbels<br />

with 15–25 rays bearing many-flowered<br />

secondary umbels; bracts (usually)<br />

absent; VI–VIII.<br />

Fruits: ovoid and mericarps (carpels) usually<br />

not separating from each other.<br />

Distribution: northern and central Europe,<br />

in the south rarer to absent; in North<br />

America many other species, including C.<br />

douglasii and C. maculata, are likewise<br />

known as poisonous plants.<br />

dangerous to cattle; however, when the<br />

cattle pull the bulbs (rhizomes) out of<br />

muddy ground, very serious poisoning<br />

can result [6].<br />

While, in the older literature, many<br />

cases of poisoning (with a mortality rate<br />

of over 30%) are to be found, especially<br />

in children, there have been few reports<br />

from Europe in recent years [7, 8];<br />

however, they are by no means absent.<br />

Poisoning in two children by eating<br />

‘green cabbage’, i.e. the tubers of<br />

cowbane, is described in detail by<br />

BARTEL & GERBER [9]:<br />

‘An 8-year-old boy who had eaten a tuber died<br />

from acute cardiac failure, in spite of being<br />

treated clinically for 12 hours. A second<br />

patient, a 9-year-old boy who had only bitten<br />

off a piece of tuber and had spat it out because<br />

of the unpleasant taste, was saved after six<br />

hours of treatment which included positivepressure<br />

respiration and the administration of<br />

muscle relaxants.’<br />

More recent reports of cowbane poisoning<br />

have come from North America, where (in<br />

addition to C. <strong>virosa</strong>) other <strong>Cicuta</strong> spp., e.g.<br />

C. douglasii and C. maculata, occur and are<br />

likewise known as dangerously poisonous<br />

plants [10–13]. In discussing a case of poisoning<br />

by C. douglasii (western water <strong>hemlock</strong>),<br />

MUTTER [14] writes:<br />

‘While on a field trip with his class from school a<br />

13-year-old boy ate roots of the plant which<br />

Fig. 9: <strong>Cicuta</strong> <strong>virosa</strong>: tuberous rhizome with root scars (left); characteristic chambers and<br />

golden-yellow juice on the cut surface (right).<br />

some of the children described as “wild<br />

carrot”. When he arrived home about an hour<br />

later, he complained of abdominal pain and<br />

dizziness. But since he had been given garden<br />

chores to do his parents thought he was<br />

malingering and sent him out to do the work.<br />

About 15 minutes later his brother found him<br />

lying unconscious on the ground, frothing at<br />

the mouth, and with vomit close by. Violent<br />

convulsions then began and continued, along<br />

with vomiting, while the boy was driven to<br />

hospital. “It is believed that a new speed<br />

record for the journey (34 miles over gravel<br />

roads) was established.” Administration of<br />

oxygen and treatment with diazepam gradually<br />

brought the convulsions under control;<br />

four days later the boy was discharged, and<br />

six months after the incident there were no<br />

apparent ill-effects.’<br />

Symptoms of poisoning. Even chewing<br />

small (thumb-size) pieces of rhizome or<br />

root soon leads (within 30–60 minutes) to<br />

burning pain in the mouth, severe and<br />

prolonged vomiting, and subsequent convulsions<br />

(see the above-mentioned case<br />

history).<br />

Treatment<br />

Gastric lavage with activated charcoal.<br />

The most important measure is<br />

the prevention of the convulsions;<br />

thiobarbiturates, e.g. thiopentone<br />

sodium ( Pentothal ® , Trapanal) or<br />

diazepam (which, according to [15], is<br />

supposed to be less active) have been<br />

indicated as antidotes. Thus,<br />

STARREVELD & HOPE [15] in a case of<br />

serious poisoning in a 54-year-old<br />

adult immediately after admission<br />

slowly injected 350 mg i.v. of a thiobarbiturate<br />

and followed this by<br />

infusing further thiobarbiturate over a<br />

period of eight hours (2 mg/ml in isotonic<br />

saline), to give a total of 2.2 g.<br />

In one case of severe intoxication,<br />

haemodialysis and haemoperfusion<br />

were also used successfully [8].<br />

Appendix. Of the other plants which<br />

contain polyacetylenes, Oenanthe crocata<br />

(<strong>hemlock</strong> water dropwort) merits<br />

special attention. It occurs in southern<br />

Apiaceae 43


Fig. 10: Roots of Oenanthe crocata (‘Dead men’s fingers’).<br />

Europe, but also in western France [16]<br />

and in Great Britain, where it is considered<br />

to be one of the most dangerous poisonous<br />

plants [17]. O. crocata – like <strong>Cicuta</strong> <strong>virosa</strong><br />

and O. aquatica (fine-leaved water<br />

dropwort), which is distributed in central<br />

Europe – has a preference for wet<br />

and marshy localities. Although no<br />

cases of poisoning due to O. aquatica<br />

are known (for the composition of the<br />

essential oil, see [17]), cases of serious<br />

poisonous with O. crocata have been<br />

described repeatedly [17–20]. Since the<br />

beginning of the 20th century, at least<br />

10 cases of fatal poisoning have been<br />

44 Apiaceae<br />

published – amongst them also some<br />

from more recent times: a) a vegetarian<br />

hippie [16], one of three young people,<br />

after eating a vegetarian meal [18], and<br />

b) a student, who had eaten the tubers<br />

in the hope of achieving hallucinating<br />

effects [18]. Of ‘two alternative young<br />

men’ who, whilst on a holiday in<br />

Portugal, had eaten an unknown quantity<br />

of Oenanthe crocata, one died on<br />

the same day as he had eaten the<br />

tuber [21]; the post-mortem result<br />

showed complete necrosis of the<br />

kidney parenchyma and resembled the<br />

observations of CARLTON [10] who, in<br />

connection with poisoning by cowbane,<br />

had noticed rhabdomyolysis and renal<br />

failure.<br />

The thickened tubers of Oenanthe<br />

crocata (‘dead men’s fingers’) (Figure 10)<br />

are attractive for eating; they taste of<br />

parsnips and, when cut, produce a<br />

golden-yellow excretion (crocata!), which<br />

darkens when exposed to the air; cf. illustration<br />

of the cut surface of the <strong>Cicuta</strong><br />

rhizome! (Figure 9).<br />

The toxic poly-ynes in the excretion<br />

(oenanthotoxin etc.; for its fluorimetric<br />

assay, see [22]) are rapidly decomposed in<br />

the air, but inside the fleshy roots they<br />

remain stable and hence active for longer.<br />

The highest poly-yne content is in the<br />

roots in winter and in the early part of<br />

spring. In the case described by MITCHELL<br />

& ROUTLEDGE [17], an ecology student<br />

had been working on a farm during his<br />

holidays and had prepared a salad from<br />

the roots of some nearby plants, since a<br />

little piece of the root had a ‘pleasant<br />

taste’. The serious poisoning that resulted<br />

was caused by the root of Oenanthe crocata,<br />

but fortunately was not fatal.<br />

However, the case illustrates the point<br />

that without adequate knowledge the<br />

present-day endeavour to find an ‘alternative’<br />

diet can have quite dangerous<br />

consequences.<br />

Toxic concentrations of poly-ynes<br />

also occur in Aethusa cynapium (fool’s<br />

parsley) (Figure 11) and in Chaerophyllum<br />

temulum (rough chervil) (Figure<br />

12); both plants are also said to contain<br />

‘coniine-like volatile alkaloids’. While<br />

there are no recent reports of poisoning<br />

by C. temulum, in 1975 SWART [23]<br />

reported poisoning of goats by Aethusa<br />

cynapium. Cases of human poisoning<br />

with fool’s parsley are known only from<br />

older literature, in which its confusion<br />

with real parsley was pointed out. As<br />

fool’s parsley does not produce crispate<br />

leaves, Petroselinum crispum (parsley),<br />

which does have crispate leaves, is preferred<br />

for cultivation. Microscopically,<br />

fool’s parsley and parsley can be distinguished<br />

by the number of stomata on the<br />

undersurface of their leaves (Figure 13),<br />

the former having about twice as many as<br />

the latter. According to investigations by<br />

TEUSCHER [24], the poisonousness of<br />

fool’s parsley is questionable, as the isolated<br />

C 13 poly-ynes (aethusin and aethusanol<br />

A) showed only slight toxicity in<br />

animal experiments. Even eating larger<br />

amounts of this plant did not produce<br />

poisoning symptoms in mice and guinea<br />

pigs. The authors presumed that the older<br />

reports possibly referred to Conium poisoning<br />

or that only plants infected with<br />

the rust fungus Puccinia aethusae produce<br />

larger amounts of the poison.<br />

Symptoms of poisoning and<br />

treatment: See <strong>Cicuta</strong> <strong>virosa</strong>.<br />

In a serious case of poisoning, owing<br />

to insufficient breathing, artificial respiration<br />

had to be given; also, metabolic<br />

acidosis, signs of rhabdomyolysis and<br />

renal failure had to be corrected<br />

therapeutically [22].<br />

Fig. 11: Aethusa cynapium L. – Fool’s<br />

parsley.<br />

Fig. 12: Chaerophyllum temulum L. –<br />

Rough chervil.<br />

Apiaceae 45


Fig. 13: Lower epidermis of the leaves of: Aethusa cynapium (left) and Petroselinum<br />

crispum (right); gelatin impression. The scale line corresponds to 50 µm.<br />

References<br />

[1] Wittstock, U., F. Hadacek, G. Wurz, E.<br />

Teuscher and H. Greger: Polyacetylenes from<br />

<strong>Water</strong> Hemlock, <strong>Cicuta</strong> <strong>virosa</strong>. Planta Med.<br />

61, 439–445 (1995).<br />

[2] Berndt, H.: Vergiftungen durch <strong>Cicuta</strong> <strong>virosa</strong><br />

L., Wasserschierling. Pharmazie 2(11),<br />

521–523 (1947).<br />

[3] Bentz, H.: Nutztiervergiftungen, Erkennung<br />

und Verhütung. Gustav Fischer Verlag, Jena<br />

1969.<br />

[4] Dijkstra, R.G. and R. Falkena: Een geval<br />

van cicutoxine-intoxicatie bij ponys.<br />

Tijdschr. Diergeneesk. 106(20), 1037–1039<br />

(1981).<br />

[5] Van Inzen, C. and S.D. Gunn: Poisoned<br />

cows. Vet. Rec. 125(8), 212 (1989).<br />

[6] Smith, R.A. and D. Lewis: <strong>Cicuta</strong> toxicosis in<br />

cattle: Case history and simplified analytical<br />

method. Vet. Hum. Toxicol. 29(3),<br />

240–241 (1987).<br />

46 Apiaceae<br />

[7] Van Heijst, A.N.P., S.A. Pikaar, R.G. van<br />

Kesteren en J.M.C. Douze: Een vergiftiging<br />

door de waterscheerling (<strong>Cicuta</strong> <strong>virosa</strong>).<br />

Ned. Tijdschr. Geneeskd. 127, 2411–2413<br />

(1983).<br />

[8] Knutzen, O.H. and P. Paszkowski: New<br />

aspects in the treatment of water <strong>hemlock</strong>poisoning.<br />

Clin. Toxicol. 22(2), 157–166<br />

(1984).<br />

[9] Bartel, J. and H.U. Gerber: Ein Beitrag zur<br />

Vergiftung mit Wasserschierling (<strong>Cicuta</strong><br />

<strong>virosa</strong>) bei Kindern. Kinderärztl. Praxis<br />

30(12), 543–547 (1962).<br />

[10] Carlton, B.E., E. Tufts and D.E. Girard:<br />

<strong>Water</strong> <strong>hemlock</strong> poisoning complicated by<br />

rhabdomyolysis and renal failure. Clin.<br />

Toxicol. 14(1), 87–92 (1979).<br />

[11] Landers, D., K. Seppi and W. Blauer:<br />

Seizures and death on a white river float<br />

trip. West. J. Med. 142(5), 637–640 (1985).<br />

[12] Sweeney, K., K.F. Gensheimer,<br />

J. Knowlton-Field and R.A. Smith: <strong>Water</strong><br />

<strong>hemlock</strong> poisoning – Maine, 1992. J. Am.<br />

Med. Assoc. 271(19), 1475–1577 (1994).<br />

[13] Heath, K.B.: A fatal case of apparent water<br />

<strong>hemlock</strong> poisoning. Vet. Hum. Toxicol.<br />

43(1), 35–36 (2001).<br />

[14] Mutter, L.: Poisoning by western water<br />

<strong>hemlock</strong>. Can. J. Public. Health 67, 386<br />

(1976).<br />

[15] Starreveld, E. and C.E. Hope: Cicutoxin<br />

poisoning (water <strong>hemlock</strong>). Neurology 25,<br />

730–734 (1975).<br />

[16] Anger, J.-P., F. Anger, Y. Chauvel,<br />

R.L. Girre, N. Curtes et J.-P. Curtes:<br />

Intoxication mortelle par Oenanthe safranee<br />

(Oenanthe crocata). Europ. J. Toxicol.<br />

9(2), 119–125 (1976).<br />

[17] Mitchell, M.I. and P.A. Routledge:<br />

Hemlock water dropwort poisoning – a<br />

review. Clin. Toxicol. 12(4), 417–426<br />

(1978).<br />

[18] King, L.A., M.J. Lewis, D. Parry, P.A.<br />

Twitchett and E.A. Killner: Identification of<br />

oenanthotoxin and related compounds in<br />

<strong>hemlock</strong> water dropwort poisoning. Hum.<br />

Toxicol. 4, 355–364 (1985).<br />

[19] Ball, M.J., M.L. Flather and J.C. Forfar:<br />

Hemlock water dropwort poisoning.<br />

Postgrad. Med. J. 63, 363–365 (1987).<br />

[20] O’Mahonney, S., P. Fitzgerald and M.J.<br />

Welton: Poisoning by <strong>hemlock</strong> water dropwort.<br />

Irish. J. Med. Sci. 156(8), 241 (1987).<br />

[21] Theus, L.: Schwere und tödliche<br />

Pflanzenvergiftungen der Schweiz. Bevölkerung<br />

von 1966–1992. Dissertation, Basel<br />

1994.<br />

[22] Del Castillo, B., A.G. De Marina and M.P.<br />

Martinez-Honduvilla: Fluorometric determination<br />

of oenanthotoxin. Ital. J.<br />

Biochem. 29(4), 233–237 (1980).<br />

[23] Swart, F.W.J.: Vergifting van geiten door<br />

Hondspetersilie. Tijdschr. Diergeneesk.<br />

100(18), 989–990 (1975).<br />

[24] Teuscher, E., H. Greger and V. Adrian:<br />

Untersuchungen zur Toxizität von Aethusa<br />

cynapium L., der Hundspetersilie. Pharmazie<br />

45(7), 537–538 (1990).<br />

Conium maculatum L. Hemlock<br />

Although <strong>hemlock</strong> is one of the most<br />

widely known poisonous plants, it plays<br />

only a minor role in the advice given by<br />

the Central European Toxicological<br />

Information Centres. Thus, for instance,<br />

the Centre in Berlin registered only 37<br />

cases in 24 years. Children who had eaten<br />

the fruits, flowers, stalks or leafy parts<br />

experienced gastrointestinal pains in 16%<br />

of the cases [1]. The unpleasant odour of<br />

the plant – it smells of mouse urine – is<br />

due to the free base coniine, and it<br />

becomes stronger after crushing the plant<br />

material and on making it alkaline. It<br />

effectively deters consumption of the<br />

plant. Also, the addition of <strong>hemlock</strong> fruits<br />

to aniseed rarely occurs nowadays.<br />

Figure 15 shows some umbelliferous<br />

fruits, including the very similar-looking<br />

ones of <strong>hemlock</strong> and Pimpinella anisum<br />

(aniseed). A more recent report of three<br />

deaths in Australia [2] shows, however,<br />

Fig. 14: Conium maculatum – Hemlock,<br />

Poison-<strong>hemlock</strong>.<br />

An annual or biannual plant (1.0–2.5 m in<br />

height) with finely grooved, round and at<br />

ground level and, higher up, spotted<br />

stems; distinctly smaller and with similarly<br />

spotted but dirty-reddish stem:<br />

Chaerophyllum temulentum (see Fig. 12).<br />

Grows along hedges, fences, roadsides<br />

and on waste ground.<br />

Leaves: intense green, 2–4-pinnate,<br />

glabrous.<br />

Flowers: whitish, umbels with bracts.<br />

Fruits: ovoid with wavy ridges, glabrous<br />

(unlike aniseed).<br />

Distribution: throughout Europe, rarer in<br />

the north.<br />

that this plant can be the cause of serious<br />

poisoning at any time. Two young men<br />

were found dead on New Year’s Day<br />

1993:<br />

‘Both had consumed large amounts of alcohol<br />

the previous night. They were observed going<br />

out after midnight and returning an hour later<br />

carrying a quantity of green vegetable matter.<br />

They were seen boiling this leaf matter in a pot<br />

full of water, and then were not seen from 2.30<br />

a.m. until their discovery at 10.00 a.m.’<br />

Apiaceae 47


Fig. 15: Examples of Apiaceaen fruits: left to right – <strong>Cicuta</strong> <strong>virosa</strong>, Aethusa cynapium,<br />

Conium maculatum, Pimpinella anisum, Heracleum sphondylium (with the vittae<br />

visible).<br />

The stomach content of one, as well<br />

as the blood and urine of the other, was<br />

shown, by means of GC-NMR spectroscopy,<br />

(in addition to alcohol and<br />

THC) to contain -conicein and the plant<br />

material was identified as C. maculatum.<br />

The third fatal case refers to a 3-yearold<br />

child who, together with other children,<br />

had eaten from a plant known as<br />

‘carrot weed’. Whereas the other children<br />

spat the leaves out again, the stomach<br />

content of the dead child contained 142 g<br />

of leaf material belonging to C. maculatum.<br />

The stomach contents, as well as the<br />

blood, were shown to contain -conicein.<br />

After eating the leaves the child sat in its<br />

pram and was observed to be sleeping as<br />

if narcotized. Death occurred 2 hours<br />

after ingestion.<br />

Less serious was a case of Conium<br />

poisoning in a 4-year-old. After he had<br />

eaten leaves of the ‘wild carrot’, he<br />

luckily had to vomit, before falling into a<br />

narcotic-like sleep. After gastric lavage<br />

with activated charcoal, it took 90 minutes<br />

before he responded to questioning<br />

and recovered without further damage.<br />

The fresh leaves of the ‘wild carrot’ were<br />

shown to contain 850 g -conicein/g [3].<br />

In Turkey, a woman had to receive<br />

artificial respiration for over 16 hours<br />

and, thus, survived a serious case of<br />

Conium poisoning. Apparently, she had<br />

confused <strong>hemlock</strong> with Chaerophyllum<br />

macropodum, a plant which, in Turkey, is<br />

used for the production of a certain type<br />

of cheese [4].<br />

Toxic constituents. The piperidine alkaloids,<br />

such as coniine and -conicein, are<br />

the main alkaloids [5]. They are present<br />

in all parts of the plant and accumulate in<br />

particularly high concentrations (up to<br />

3.5%) in the not quite ripe fruits, where<br />

they are localized in the inner wall (endocarp<br />

and adjoining mesocarp), the<br />

so-called coniine layer. In dried plant<br />

material, i.e. in hay, the alkaloid content<br />

is smaller, owing to the volatility of the<br />

free bases.<br />

Toxic effects. Coniine and -conicein<br />

have acute toxic and in animals teratogenic<br />

effects. The alkaloids in <strong>hemlock</strong>, of<br />

which the minor ones have not been individually<br />

investigated, act on the central<br />

and peripheral nervous system. They have<br />

a nicotin-like effect on the autonomic<br />

ganglia and sensitive nerve endings, but<br />

N<br />

H<br />

N<br />

Coniine<br />

-Coniceine<br />

also exhibit curare-like effects, in which<br />

with higher doses the striated musculature<br />

is paralysed. As the alkaloids are readily<br />

absorbed by the skin and the mucous<br />

layer of the gastrointestinal tract, symptoms<br />

of poisoning become apparent<br />

within 1–2 hours after ingestion: at first<br />

burning in the mouth, nausea, vomiting<br />

and salivating, stomach pains and diarrhoea<br />

as well as muscle tremor and convulsions.<br />

In severe cases of poisoning,<br />

paralysis of the striated musculature sets<br />

in, starting at the extremities, until death<br />

takes place as a result of respiratory<br />

paralysis. Plato’s classical description of<br />

the death of Socrates gives rise to speculation<br />

even today [6]. A more recent toxicological<br />

valuation of coniine is given by<br />

SEEGER [7].<br />

Several publications by a group of<br />

Italian doctors [8, 9] describe, apart from<br />

the symptoms of neuro-toxic poisoning, the<br />

occurrence of rhabdomyolysis (destruction<br />

of the striated muscle fibres) and myoglobinuria<br />

combined with acute renal failure.<br />

According to the authors, all cases (including<br />

three fatal ones owing to renal failure)<br />

were caused by indirect coniine poisoning:<br />

all patients had eaten song-birds, which<br />

themselves had eaten buds (and also possibly<br />

the ‘seeds’) of Conium maculatum in<br />

the spring. Coniine was found to be present<br />

in the urine of the patients and partly also<br />

in the serum (shown by means of thinlayer<br />

chromatography). There are no<br />

quantitative data on the concentration of<br />

the coniine (or of the coniine content in the<br />

corresponding animals); it is difficult, therefore,<br />

to determine whether, in fact, it was<br />

coniine poisoning [10]. The liver, kidneys<br />

and pancreas of a 14-year-old girl, who had<br />

died as a result of Conium poisoning, could<br />

be used for transplantation without<br />

problems [10].<br />

48 Apiaceae Apiaceae 49<br />

Treatment<br />

Primary removal of poison; immediate<br />

activated charcoal; also, suspected<br />

cases to be admitted to hospital.<br />

Prompt endotracheal intubation and<br />

artificial respiration, as long as respiratory<br />

arrest persists.<br />

Animal poisonings. Poisoning in animals<br />

is not rare and occurs mainly in the<br />

spring, when no other forage is available<br />

in sufficient quantities for grazing animals.<br />

The affected animals salivate,<br />

excrete a lot of faeces and urine; in serious<br />

cases, muscle tremor and muscle<br />

paralysis is followed by death as a result<br />

of respiratory failure. According to [11],<br />

pigs are less sensitive than sheep and<br />

goats, whereas Conium is very poisonous<br />

to cattle. This information from PANTER<br />

et al., who probably have the most experience,<br />

do not coincide with other reports,<br />

according to which pigs, in particular, are<br />

supposed to be very sensitive [7, 12]. Pigs<br />

and piglets [13, 14], dairy cattle [15], elks<br />

[16], turkeys [17], sheep [18] and rabbits<br />

[19] are affected by the poisoning,<br />

whereas song-birds (according to observations<br />

in Italy) (see above) are less sensitive.<br />

A review of accidental poisoning and<br />

experimental work on ‘<strong>hemlock</strong>s’ (i.e.<br />

Conium and <strong>Cicuta</strong>) is given by PANTER<br />

et al. [11].<br />

Apart from the acute toxicity, teratogenic<br />

effects have also been attributed to<br />

Conium alkaloids and have been verified<br />

in feeding experiments [20–22]. Doses<br />

that are toxic to the pregnant mother<br />

animal, cause skeletal malformations<br />

(congenital arthrogryposis, scoliosis, cleft<br />

palate), as are already known from<br />

poisoning by Lupinus and Nicotinia alkaloids<br />

[23]. Coniines used in experiments<br />

on laboratory animals gave no reaction<br />

with rats and have only weak teratogenic<br />

effects with rabbits [24].<br />

References<br />

[1] Ritter, S.: Vergiftungsunfälle mit Pflanzen,<br />

in: Vergiftungen im Kindesalter, K.E. von<br />

Mühlendahl, U. Oberdisse, R. Bunjes und S.<br />

Ritter (Hrsg.), Ferdinand Enke Verlag,<br />

Stuttgart 1995.<br />

[2] Drummer, O.H., A.N. Roberts, P.J.<br />

Bedford, K.L. Crump and M.H. Phelan:<br />

Three deaths from <strong>hemlock</strong> poisoning.<br />

Med. J. Aust. 162(11), 592–593 (1995).<br />

[3] Frank, B.S., W.B. Michelson, K.E. Panter<br />

and D.R. Gardner: Ingestion of poison<br />

<strong>hemlock</strong> (Conium maculatum). Western J.<br />

Med. 163(6), 573–574 (1995).<br />

[4] Biberci, E., Y. Altuntas, A. Cobanoglu and<br />

A. Alipinar: Acute respiratory arrest following<br />

<strong>hemlock</strong> (Conium maculatum) intoxication.<br />

Clin. Toxicology 40(4), 517–518<br />

(2002).<br />

[5] Lopez, T.A., M.S. Cid and M.L. Bianchini:<br />

Biochemistry of <strong>hemlock</strong> (Conium maculatum<br />

L.) alkaloids and their acute and<br />

chronic toxicity in livestock. A review.<br />

Toxicon 37, 841–865 (1999).<br />

[6] Ober, W.B.: Did Socrates die of <strong>hemlock</strong><br />

poisoning? N. Y. State J. Med. 77(2),<br />

254–258 (1977).<br />

[7] Seeger, R.: DAZ-Giftlexikon: Coniin.<br />

Dtsch. Apoth. Ztg. 131(15), 720–723<br />

(1991).<br />

[8] Rizzi, D., C. Basile, A. Di Maggio, A.<br />

Sebastio, F. Introna, R. Rizzi, S. De Marco<br />

and J.E. Smialek: Clinical spectrum of accidental<br />

<strong>hemlock</strong> poisoning: Neurotoxic<br />

manifestations, rhabdomyolysis a. acute<br />

tubular necrosis. Nephrol. Dial. Transplant.<br />

6, 939–943 (1991).<br />

[9] Scatizzi, A., A. Di Maggio, D. Rizzi, A.M.<br />

Sebastio and C. Basile: Acute renal failure<br />

due to tubular necrosis caused by wildfowlmediated<br />

<strong>hemlock</strong> poisoning. Renal Failure<br />

15(1), 93–96 (1993).<br />

[10] Foster, P.F., R. McFadden, R. Trevino et al.:<br />

Succesful transplantation of donor organs<br />

from a <strong>hemlock</strong> poisoning victim. Transplantation<br />

76(5), 874–876 (2003).<br />

[11] Panter, K.E., R.F. Keeler and D.C. Baker:<br />

Toxicoses in livestock from the <strong>hemlock</strong>s<br />

(Conium and <strong>Cicuta</strong> ssp.). J. Anim. Sci.<br />

66(9) 2407–2413 (1988).<br />

[12] Liebenow, H. and K. Liebenow:<br />

Giftpflanzen. Gustav Fischer Verlag Jena,<br />

Stuttgart 1993.<br />

[13] Hannam, D.A.R.: Hemlock (Conium maculatum)<br />

poisoning in the pig. Vet. Rec.<br />

116(12), 322 (1985).<br />

[14] Markham, K.: Hemlock poisoning in<br />

piglets. Vet. Rec. 116(1), 27 (1985).<br />

[15] Galey, F.D., D.M. Holstege and E.G. Fisher:<br />

Toxicosis in dairy cattle exposed to poison<br />

<strong>hemlock</strong> (Conium maculatum) in hay: isolation<br />

of Conium alkaloids in plants, hay<br />

and urine. J. Vet. Diagn. Invest. 4(1), 60–64<br />

(1992).<br />

[16] Jessup, D.A., H.J. Boermans and N.D.<br />

Kock: Toxicosis in tule elk caused by ingestion<br />

of poison <strong>hemlock</strong>. J. Am. Vet. Med.<br />

Assoc. 189(9), 1173–1175 (1986).<br />

[17] Frank, A.A. and W.M. Reed: Conium maculatum<br />

(poison <strong>hemlock</strong>) toxicosis in a<br />

flock of range turkeys. Avian diseases 31(2),<br />

386–388 (1987).<br />

[18] Panter, K.E., T.D. Bunch and R.F. Keeler:<br />

Maternal and fetal toxicity of poison<br />

<strong>hemlock</strong> (Conium maculatum) in sheep.<br />

Am. J. Vet. Res. 49(2), 281–283 (1988).<br />

[19] Short, S.B. and W.C. Edwards: Accidental<br />

Conium maculata poisoning in the<br />

rabbit. Vet. Hum. Toxicol. 31(1), 54–57<br />

(1989).<br />

[20] Keeler, R.F. and L.D. Balls: Teratogenic<br />

effects in cattle of Conium maculatum and<br />

Conium alkaloids and analogs. Clin.<br />

Toxicol. 12(1), 49–64 (1978).<br />

[21] Panter, K.E., R.F. Keeler, W.B. Buck and J.L.<br />

Shupe: Toxicity and teratogenicity of<br />

Conium maculatum in swine. Toxicon<br />

Suppl. 3, 333–336 (1983).<br />

[22] Panter, K.E., R.F. Keeler and W.B. Buck:<br />

Induction of cleft palate in newborn pigs by<br />

maternal ingestion of poison <strong>hemlock</strong><br />

(Conium maculatum). Am. J. Vet. Res.<br />

46(6), 1368–1371 (1985).<br />

[23] Panter, K.E., L.F. James and D.R. Gardner:<br />

Lupines, poison-<strong>hemlock</strong> and Nicotiana<br />

ssp.: Toxicity and teratogenicity in livestock.<br />

J. Nat. Toxins 8(1), 117–134 (1999).<br />

[24] Forsyth, C. and A.A. Frank: Evaluation of<br />

developmental toxicity of coniine to rats<br />

and rabbits. Teratology 48(1), 59–64<br />

(1993).

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