Coturnism

Last updated

Coturnism
Coturnix coturnix (Warsaw zoo)-1.JPG
Coturnix coturnix
Specialty Toxicology

Coturnism is an illness featuring muscle tenderness and rhabdomyolysis [1] (muscle cell breakdown) after consuming quail (usually common quail, Coturnix coturnix, [2] from which the name derives) that have fed on poisonous plants.

Contents

Causes

From case histories it is known that the toxin is stable, as four-month-old pickled quail have been poisonous. Humans vary in their susceptibility; only one in four people who consumed quail soup containing the toxin fell ill. [3] The toxin is apparently fat-soluble as potatoes fried in quail fat have proven poisonous themselves. [3]

Coniine from hemlock consumed by quail has been suggested as the cause of coturnism, [4] though quail resist eating hemlock. [3] Hellebore has also been suggested as the source of the toxin. [5] It has also been asserted that this evidence points to the seeds of the annual woundwort ( Stachys annua ) being the causal agent. [3] It has been suggested that Galeopsis ladanum seeds are not responsible. [6]

Epidemiology

Migration routes and season may affect quail risk. [7] Quail are never poisonous outside the migration season nor are the vast majority poisonous while migrating. [3] European common quail migrate along three different flyways, each with different poisoning characteristics, at least in 20th-century records. The western flyway across Algeria to France is associated with poisonings only on the spring migration and not on the autumn return. The eastern flyway, which funnels down the Nile Valley, is the reverse. Poisonings were only reported in the autumn migration before the quail had crossed the Mediterranean. The central flyway across Italy had no associated poisonings. [3]

Migrating quail used to be caught and eaten in prodigious numbers (150,000 quail exported from Capri in 1850) [8] but modern farming and droughts in the Sahel have led to a vast reduction in the size of the migrations. Conservation efforts and the availability of farmed quail have also reduced the consumption of these wild birds.[ citation needed ]

History

The condition was certainly known by the 4th century BC to the ancient Greek (and subsequently Roman) naturalists, physicians, and theologians. The Bible (Numbers 11:31-34) mentions an incident where the Israelites became ill after having consumed large amounts of quail in Sinai. [9] Philo gives a more detailed version of the same Biblical story (The Special Laws: 4: 120–131). Early writers used quail as the standard example of an animal that could eat something poisonous to man without ill effects for themselves. Aristotle (On Plants 820:6-7), Philo (Geoponics: 14: 24), Lucretius (On the Nature of Things: 4: 639–640), Galen (De Temperamentis: 3:4) and Sextus Empiricus (Outlines of Pyrrhonism: 1: 57) all make this point.

Central to these ancient accounts is the idea that quail became toxic to humans after consuming seeds from hellebore or henbane (Hyoscyamus niger). However Sextus Empiricus suggested that quail ate hemlock (Conium maculatum), an idea revived in the 20th century. Confirmation that the ancients understood the problem comes from a 10th-century text, Geoponica, based on ancient sources. This states, "Quails may graze hellebore putting those who afterwards eat them at risk of convulsions and vertigo....". [10]

Related Research Articles

<span class="mw-page-title-main">Quail</span> Index of animals with the same common name

Quail is a collective name for several genera of mid-sized birds generally placed in the order Galliformes. The collective noun for a group of quail is a flock, covey, or bevy.

<span class="mw-page-title-main">Rhabdomyolysis</span> Human disease (condition) in which damaged skeletal muscle breaks down rapidly

Rhabdomyolysis is a condition in which damaged skeletal muscle breaks down rapidly. Symptoms may include muscle pains, weakness, vomiting, and confusion. There may be tea-colored urine or an irregular heartbeat. Some of the muscle breakdown products, such as the protein myoglobin, are harmful to the kidneys and can cause acute kidney injury.

<span class="mw-page-title-main">Common quail</span> Species of bird

The common quail, or European quail, is a small ground-nesting game bird in the pheasant family Phasianidae. It is mainly migratory, breeding in the western Palearctic and wintering in Africa and southern India.

<i>Conium</i> Genus of flowering plants in the celery family Apiaceae

Conium is a genus of flowering plants in the family Apiaceae. As of December 2020, Plants of the World Online accepts six species.

<span class="mw-page-title-main">Coniine</span> Chemical compound

Coniine is a poisonous chemical compound, an alkaloid present in and isolable from poison hemlock, where its presence has been a source of significant economic, medical, and historico-cultural interest; coniine is also produced by the yellow pitcher plant, and fool's parsley. Its ingestion and extended exposure are toxic to humans and all classes of livestock; its mechanism of poisoning involves disruption of the central nervous system, with death caused by respiratory paralysis. The biosynthesis of coniine contains as its penultimate step the non-enzymatic cyclisation of 5-oxooctylamine to γ-coniceine, a Schiff base differing from coniine only by its carbon-nitrogen double bond in the ring. This pathway results in natural coniine that is a mixture—a racemate—composed of two enantiomers, the stereoisomers (S)-(+)-coniine and (R)-(−)-coniine, depending on the direction taken by the chain that branches from the ring. Both enantiomers are toxic, with the (R)-enantiomer being the more biologically active and toxic of the two in general. Coniine holds a place in organic chemistry history as being the first of the important class of alkaloids to be synthesized, by Albert Ladenburg in 1886, and it has been synthesized in the laboratory in a number of unique ways through to modern times.

<span class="mw-page-title-main">Mushroom poisoning</span> Harmful effects from ingestion of toxic substances present in a mushroom

Mushroom poisoning is poisoning resulting from the ingestion of mushrooms that contain toxic substances. Its symptoms can vary from slight gastrointestinal discomfort to death in about 10 days. Mushroom toxins are secondary metabolites produced by the fungus.

<span class="mw-page-title-main">Hellebore</span> Genus of plants

Commonly known as hellebores, the Eurasian genus Helleborus consists of approximately 20 species of herbaceous or evergreen perennial flowering plants in the family Ranunculaceae, within which it gave its name to the tribe of Helleboreae. Despite names such as "winter rose", "Christmas rose" and "Lenten rose", hellebores are not closely related to the rose family (Rosaceae). Many hellebore species are poisonous.

<i>Coturnix</i> Genus of birds

Coturnix is a genus of five extant species and five to eight known extinct species of Old World quail.

<i>Cicuta douglasii</i> Species of flowering plant

Cicuta douglasii, the western water hemlock, is a very poisonous perennial plant in the family Apiaceae.

<span class="mw-page-title-main">Cicutoxin</span> Chemical compound

Cicutoxin is a naturally-occurring poisonous chemical compound produced by several plants from the family Apiaceae including water hemlock (Cicuta species) and water dropwort (Oenanthe crocata). The compound contains polyene, polyyne, and alcohol functional groups and is a structural isomer of oenanthotoxin, also found in water dropwort. Both of these belong to the C17-polyacetylenes chemical class.

<i>Cicuta</i> Genus of plants

Cicuta, commonly known as water hemlock, is a genus of four species of highly poisonous plants in the family Apiaceae. They are perennial herbaceous plants which grow up to 2.5 meters (8 ft) tall, having distinctive small green or white flowers arranged in an umbrella shape (umbel). Plants in this genus may also be referred to as cowbane or poison parsnip. Cicuta is native to temperate regions of the Northern Hemisphere, mainly North America and Europe, typically growing in wet meadows, along streambanks and other wet and marshy areas. These plants bear a close resemblance to other members in the family Apiaceae and may be confused with a number of edible or poisonous plants. The common name hemlock may also be confused with poison hemlock, or with the Hemlock tree.

<span class="mw-page-title-main">Quail as food</span>

Both Old World and New World quail include edible species. The common quail used to be much favoured in French cooking, but quail for the table are now more likely to be domesticated Japanese quail. The common quail is also part of Polish cuisine, Maltese cuisine, Portuguese cuisine, Italian cuisine, Mexican cuisine, and Indian cuisine. Quail are commonly eaten complete with the bones, since these are easily chewed and the small size of the bird makes it inconvenient to remove them.

<i>Tricholoma equestre</i> Species of fungus

Tricholoma equestre or Tricholoma flavovirens, also known as man on horseback or yellow knight is a formerly widely eaten but arguably hazardous fungus of the genus Tricholoma that forms ectomycorrhiza with pine trees.

<span class="mw-page-title-main">Oenanthotoxin</span> Chemical compound

Oenanthotoxin is a toxin extracted from hemlock water-dropwort and other plants of the genus Oenanthe. It is a central nervous system poison, and acts as a noncompetitive antagonist of the neurotransmitter gamma-aminobutyric acid. A case has been made for the presence of this toxin in local Oenanthe species playing a causative role in euthanasia in ancient Sardinia. It was crystallized in 1949 by Clarke and co-workers. It is structurally closely related to the toxins cicutoxin and carotatoxin. Oenanthotoxin is a C17 polyacetylene isomer of cicutoxin.

<i>Conium maculatum</i> Poisonous herbaceous plant in the carrot family

Conium maculatum, colloquially known as hemlock, poison hemlock or wild hemlock, is a highly poisonous biennial herbaceous flowering plant in the carrot family Apiaceae, native to Europe and North Africa. A hardy plant capable of living in a variety of environments, hemlock is widely naturalized in locations outside its native range, such as parts of Australia, West Asia, and North and South America, to which it has been introduced. It is capable of spreading and thereby becoming an invasive weed.

<span class="mw-page-title-main">Toxic bird</span> Birds that are poisonous to touch and eat

Toxic birds are birds that use toxins to defend themselves from predators. No species of bird is known to actively inject or produce venom, but the discovered toxic birds are known to be poisonous to touch and eat. These birds usually sequester poison from animals and plants they feed on, especially poisonous insects. Birds with known toxic traits include the pitohui and ifrita birds from Papua New Guinea, the European quail, the spur-winged goose, hoopoes, the bronzewing pigeon, and the red warbler, among others.

<span class="mw-page-title-main">Poisonous amphibian</span> Amphibians that produce poison

Poisonous amphibians are amphibians that produce toxins to defend themselves from predators.

<span class="mw-page-title-main">Old World quail</span> Species of pheasant like birds

Old World quail is a collective name for several genera of mid-sized birds in the tribe Coturnicini of the pheasant family Phasianidae. Although all species commonly referred to as "Old World quail" are in the same tribe, they are paraphyletic with respect to the other members of the tribe, such as Alectoris, Tetraogallus, Ammoperdix, Margaroperdix, and Pternistis.

<span class="mw-page-title-main">Substances poisonous to dogs</span> Harmful substances

Some substances are poisonous to dogs through ingestion, contact or inhalation. The poisonous substances most commonly consumed by pet dogs include human foods, medication not suitable for animals, household products, and plants.

References

  1. Korkmaz I, Kukul Güven FM, Eren SH, Dogan Z (October 2008). "Quail Consumption Can Be Harmful". J Emerg Med. 41 (5): 499–502. doi:10.1016/j.jemermed.2008.03.045. PMID   18963719.
  2. Tsironi M, Andriopoulos P, Xamodraka E, et al. (August 2004). "The patient with rhabdomyolysis: have you considered quail poisoning?". CMAJ. 171 (4): 325–6. doi:10.1503/cmaj.1031256. PMC   509041 . PMID   15313988.
  3. 1 2 3 4 5 6 Lewis DC, Metallinos-Katzaras E, Grivetti LE (1987). "Coturnism: Human Poisoning by European Migratory Quail". Journal of Cultural Geography. 7 (2): 51–65. doi:10.1080/08873638709478507.
  4. Clatworthy, Menna (2010). Nephrology: Clinical Cases Uncovered. John Wiley and Sons. p. 145. ISBN   978-1-4051-8990-3.
  5. Dobbs, Michael R. (2009). Clinical neurotoxicology: syndromes, substances, environments. Elsevier Health Sciences. p. 166. ISBN   978-0-323-05260-3.
  6. Uriarte-Pueyo I, Goicoechea M, Gil AG, López de Cerain A, López de Munain A, Calvo MI (November 2009). "Negative evidence for stachydrine or Galeopsis ladanum L. seeds as the causal agents of coturnism after quail meat ingestion". J. Agric. Food Chem. 57 (22): 11055–9. doi:10.1021/jf902764n. PMID   19860419.
  7. Giannopoulos D, Voulioti S, Skarpelos A, Arvanitis A, Chalkiopoulou C (2006). "Quail poisoning in a child". Rural Remote Health. 6 (2): 564. PMID   16700632.
  8. Toschi A (1959). La quaglia: vita, caccia, allevamento. Supplemento alle Ricerche di Zoologia Applicata alla Caccia. Vol. 3. Bologna: Università di Bologna. p. 110. OCLC   66552512.
  9. Ouzounellis T (16 February 1970). "Some notes on quail poisoning". JAMA. 211 (7): 1186–7. doi:10.1001/jama.1970.03170070056017. PMID   4904256.
  10. Andrew Dalby Totnes (2011). Geoponica : farm work: a modern translation of the Roman and Byzantine farming handbook. Prospect. p. 294. ISBN   978-1-903018-69-9.