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plant


leaves


unripe fruit


flowers


flowers

Lily of the valley

Convallaria majalis

Other names

Description

Perennial plant. Creeping roots give rise to pairs of simple oval leaves up to 25cm long. Flowering stalks are leafless and have a one-sided, terminal inflorescence of drooping white bell-shaped flowers with a strong attractive scent. Fruit is a red globular berry with several seeds.

Similar plants

Do not confuse with lily of the valley tree.

Distribution

Commonly cultivated in shady places in gardens.

Toxin

Cardiac glycosides (convallarin, convallamarin and convallotoxin) act on the heart in a similar way to digoxin. Convallarium binds to Na pumps acting as a positive ionotrope (increasing contractility of the heart) which leads to the development of a rapid and irregular heart rate which may lead to ventricular fibrillation, conduction block and asystole. Glycosides also cause gastrointestinal tract irritation.

Species affected

Mainly a danger to children who are attracted to the flowers and red berries. No reports of animal poisoning in NZ.

Clinical signs acute

Abdominal pain with vomiting and diarrhoea. Blurred vision, delirium, decrease in pulse. Animal may go into cardiac failure and develop arrhythmias.

Clinical signs chronic

Post mortem signs

PM grossly distended heart, congestion of lungs and abdominal organs. Animals may be found dead with evidence of terminal convulsions.

Diagnosis

From history, clinical signs, post mortem findings.

Differential diagnosis

Treatment

Stomach lavage, emetics, activated charcoal. Watch ECG and treat as necessary to control arrhythmias as in digoxin overdose, usually phenytoin.

Prognosis

Reasonable if animal survives first 24hrs.

Prevention

Control access to plant or plant trimmings.


References

Conner H.E. The Poisonous Plants In New Zealand. 1992. GP Publications Ltd, Wellington

Cooper M R, Johnson A W. Poisonous Plants and Fungi in Britan: Animals and Human Poisoning. Her Majesty’s Stationary Office. London. 1998

Parton K, Bruere A.N. and Chambers J.P. Veterinary Clinical Toxicology, 2nd ed. 2001. Veterinary Continuing Education Publication No. 208

4 October, 2007

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