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[麦角中毒——一种来自美索不达米亚的野草在欧洲成为一种流行性病原体]

[Ergotism-a weed from Mesopotamia became an epidemic pathogen in Europe].

作者信息

Flamm Heinz

机构信息

, Martinstraße 7, 3400, Klosterneuburg, Österreich.

Medizinische Universität Wien, Wien, Österreich.

出版信息

Wien Med Wochenschr. 2023 Nov;173(15-16):374-392. doi: 10.1007/s10354-022-00960-z. Epub 2022 Aug 31.

Abstract

In Mesopotamian wheat fields rye grew as weed and after certain developments rye reached Europe and there became a cultivable plant and the dominant grain in certain regions. With the rye also its parasite, the Claviceps purpurea, reached Europe. This ascomycete infects particular rye grains and in its developmental cycle grows to sclerotia bigger than each grain. These forms, the so-called ergots, contain the poisonous ergotalcaloids. After their intake they produce two characteristic forms of ergotism.The clinical picture of the Ergotismus gangraenosus already before the knowledge of its origin, was known as "Ignis sacer", "Anthony's Fire" and "Cold Gangrene". In this non-febrile affection mostly of the limbs, the muscles were decomposed without bleeding and without pain and thereafter the bones detached. Sooner or later the patients died.The other form, Ergotismus convulsivus, mostly described in the German literature as "Kriebelkrankheit" (Crawly disease), begins with the sensation of running ants upon the limbs and continues with painful contractions of hands and feet. In many cases there is a loss of mind and language. Finally, death occurs.The intake of ergotalcaloids predominantly with products of rye flour and meal but also during processing the harvested rye are discussed as well as the "Carry-over" by meat and milk. It is stressed that the compliance with the legal Austrian and EU regulations for the maximum contents of sclerotia and ergotalcaloids resp. in products for human and animal nourishments only can be guaranteed by continuing the technics of separating the sclerotia and their parts.

摘要

在美索不达米亚的麦田里,黑麦作为杂草生长,经过一定的发展后,黑麦传入欧洲,并在那里成为一种可种植的作物,且在某些地区成为主要谷物。随着黑麦的传播,其寄生虫——麦角菌也传入了欧洲。这种子囊菌感染特定的黑麦籽粒,在其发育周期中会长成比每个籽粒都大的菌核。这些形态,即所谓的麦角,含有有毒的麦角生物碱。摄入后会产生两种典型的麦角中毒形式。坏疽性麦角中毒的临床症状在人们还不知道其病因之前,就被称为“圣艾尔摩之火”“安东尼之火”和“寒性坏疽”。在这种主要影响四肢的无发热病症中,肌肉会分解,无出血、无痛感,随后骨骼分离。患者迟早会死亡。另一种形式是惊厥性麦角中毒,在德国文献中大多被描述为“蚁走感病”,开始时四肢有蚁走感,接着是手脚疼痛性痉挛。在许多情况下,会出现精神错乱和语言障碍。最终导致死亡。文中还讨论了主要通过黑麦粉和粗粉制品摄入麦角生物碱的情况,以及收获后的黑麦在加工过程中摄入的情况,还有肉类和牛奶中的“残留”问题。强调只有通过继续采用分离菌核及其部分的技术,才能确保符合奥地利和欧盟关于人类和动物营养产品中菌核和麦角生物碱最大含量的法律规定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4890/10632199/89cc6a3f7a54/10354_2022_960_Fig1_HTML.jpg

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