Foxglove
General poisoning notes:
Foxglove (Digitalis
purpurea) is an attractive biennial plant that is cultivated in Canada and
is naturalized in several provinces. Upon ingestion, this plant can cause toxic
reactions that lead to severe sickness and death in animals and in humans.
Several important pharmaceutical drugs such as digitalis and digoxin are
derived from this plant. The chemicals increase the force of contraction of the
heart muscle and are therefore used in cases of heart congestion. Foxglove (Digitalis
purpurea) is a naturalized herb found in eastern Canada and British
Columbia. It is also a common outdoor ornamental. All classes of livestock are
susceptible to poisoning by foxglove. However, because of the unpalatable
nature of the plant, poisoning is infrequent, although when it does occur it is
often severe and dramatic, frequently resulting in death. Human poisoning occurs
rarely. However, poisoning was reported in the children who ate the flowers or
drank water from vases. Accidentally including foxglove leaves in tea has led
to poisoning and death. Cardiac glycosides are commonly described drugs that
have a low margin of safety. Slight overdoses of prescribed medicine can cause
symptoms of toxicity (Cooper and Johnson 1984, Cheeke and Schull 1985, Joubert
1989).
Nomenclature:
Scientific Name: Digitalis purpurea L.
Vernacular
name(s): foxglove
Scientific family
name: Scrophulariaceae
Vernacular family
name: figwort
Geographic Information
British Columbia, Newfoundland,
Nova Scotia, Ontario.
Notes on Poisonous plant
parts:
The entire plant
contains toxic compounds. The leaves and seeds are used to produce digoxin and
other cardenolides for pharmaceutical use. The chemicals do not lose their
toxicity by drying, storage, boiling or incorporation in hay. The plants are
unpalatable and are seldom eaten by animals (Cooper and Johnson 1984, Joubert
1989).
Toxic parts:
All parts, flowers,
leaves, seeds, stems.
Notes on Toxic plant chemicals:
Digitoxin is one
of several cardiac glycosides found in foxglove and is considered the most
toxic of these chemicals. The toxins are split by hydrolysis into a sugar and
an alglycone (nonsugar compound). The aglycones have a direct effect on the
muscles to the heart (Joubert 1989).
Toxic plant chemicals:
digitoxin
Chemical
diagram(s) are courtesy of Ruth McDiarmid, Biochemistry Technician, Kamloops
Range Station, Agriculture and Agri-Food Canada, Kamploops, British Columbia,
Canada.
Animals/Human Poisoning:
Note: When an
animal is listed without additional information, the literature (as of 1993)
contained no detailed explanation.
Cats
Cattle
General symptoms of
poisoning:
Death,
dyspnea, lungs, congestion of.
Notes on poisoning:
Dairy cattle have
become poisoned after ingesting foxglove. Postmortem examination showed
consolidation of the apical lobes of both lungs, with marked emphysema and
bullae formation in the diaphragmatic lobes. Duodenal and jejunal mucosa were
extremely congested and hemorrhagic. Some cattle recovered after treatment,
whereas others took several days. One cow died 2 days after ingesting foxglove
(Thomas et al. 1987).
Dogs
Goats
Horses
Humans
General symptoms of poisoning:
Abdominal pains,
diarrhea, nausea.
Notes on poisoning:
Digitalis poisoning toxicity has a
variable latent period depending on the quantity ingested. Gross disturbances
in heartbeat and pulse are common. Most cases of human poisoning result from
slight overdoses of prescribed drugs that contain digoxin or other related
chemicals. Smith et al. (1982) describe the symptoms of digoxin and digitoxin
toxicity, including nausea and severe vomiting. Many people develop
hyperkalemia. Advanced cardiac rhythm disturbances are common, along with
tachycardia and ventricular fibrillation. Treating patients with purified Fab
fragments of digoxin-specific antibodies produces an initial favorable response
and should lead to safe, effective reversal of life-threatening digitalis
intoxication. Accidental ingestion of foxglove has occurred when the leaves
were used in tea or when flowers were ingested (Cooper and Johnson 1984).
Poultry
Sheep
Swine
General symptoms of poisoning:
Abdominal pains,
convulsions, death, diarrhea.
Notes on poisoning:
General symptoms of foxglove
poisoning for all types of animals include diarrhea, abdominal pain, irregular
pulse, tremors, and convulsions. In severe cases, death occurs. Postmortem examination
of pigs showed gastrointestinal inflammation, punctiform necrosis of the border
of the spleen, and fatty degeneration of some nerve fibers in the heart. The
presence of digitoxin in the body tissues confirms foxglove poisoning in
animals (Cooper and Johnson 1984, Joubert 1989).
Turkeys
General symptoms of poisoning:
Appetite, loss of,
convulsions, death, drowsiness, pupil dilation.
Notes on poisoning:
Several turkeys died after ingesting
foxglove leaves. Several turkeys slowly recovered. The crops were surgically
removed from affected birds, a procedure which speeded up recovery time (Parker
1951).
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