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plant


leaves


seeds


flowers


stems

Rhubarb

Rheum rhaponticum

Other names

Description

Rhubarb is a perennial garden plant. Leaf blades are triangular with undulating edges, 30-60cm across. When young, leaves are bright green, shiny and crinkled. Long pinkish red erect jointed stalks. Small creamy red flowers may develop in amongst branching stalks.

Similar plants

Gunnera species are sometimes grown as ornamental pond plants. They have green thorny stalks and sometimes grow very large (up to 5m). There are several other species of rhubarb overseas.

Distribution

Garden plant grown for its edible stalks. The plant thrives in rich, deep well drained soil in open sunny positions.

Toxin

The leaves contain anthroquinone glycosides and large quantities of soluble oxalates. A substantial absorption of oxalates causes damage to ruminal mucosa and calcium oxalate may precipitate in submucosal arteries. Free circulating oxalate may directly damage lung capillaries and cause pulmonary oedema. Soluble oxalates produce mainly bicarbonate or carbonate, which, if present in large quantities can cause a severe alkalosis. Precipitation of blood calcium may prolong clotting times. Calcium oxalate crystals may precipitate in tubular lumens causing bladder inflammation and blockage of the urethra especially in bulls, bullocks, rams and wethers. Plasma concentrations of calcium decrease due to high plasma oxalate concentrations and so clinical signs of hypocalcaemia may develop.

Species affected

Ruminants and horses. Humans have been poisoned, usually after eating the leaves.

Clinical signs acute

Abdominal pain due to inflammation of the urinary tract. Hypocalcaemia which causes muscle tremors which becomes muscular incoordination, followed by coma, and finally death. Lesions mainly confined to the urinary tract.

Clinical signs chronic

Post mortem signs

Severe pulmonary congestion. Copious amounts of froth in the trachea and bronchi. Marked hyperaemia of the mucosa of the forestomachs and intestines. Kidneys usually swollen with a pale cortex.

Diagnosis

Clinical signs and post mortem findings. Calcium oxalate crystals especially found at the sigmoid flexure in the urethra of bulls and in the twisted urethral process in rams.

Differential diagnosis

Other plant poisonings, especially those containing oxalates such as docks, taro, elephants ear, oak and arum lily.

Treatment

As for other plants containing oxalates. Detoxify with activated charcoal and laxatives when appropriate. Supportive treatment for hypocalcaemia and renal injury when present. Chalk or other calcium source (limewater) to convert soluble oxalates to harmless precipitates.

Prognosis

Usually good.

Prevention


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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