Cicuta virosa L. Cowbane, Water hemlock - Manson Publishing
Cicuta virosa L. Cowbane, Water hemlock - Manson Publishing
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).