title: Quail consumption can be harmful.
abstract: BACKGROUND
  Intoxication due to quail consumption is rarely seen. Such a toxicological syndrome (also called coturnism) occurs during the migration of quails from north to south, when they consume hemlock seeds. The clinical symptoms and laboratory results are indicative of acute rhabdomyolysis.
  
  
  OBJECTIVE
  Acute rhabdomyolysis has a wide range of etiologies. Coturnism is a rare cause of acute rhabdomyolysis that can be lethal due to renal failure and shock. To avoid severe complications, coturnism may be considered if the history is appropriate.
  
  
  METHODS
  We report four cases of coturnism from quail consumption; the patients were admitted with some combination of symptoms including muscle tenderness, extremity pain, nausea, and vomiting. They were treated with vigorous isotonic crystalloid hydration and urine alkalinization. Consequently, the laboratory results returned to normal ranges and the clinical symptoms disappeared.
  
  
  CONCLUSIONS
  Although coturnism is a rarely seen toxicological syndrome that causes rhabdomyolysis, we present this case to increase awareness that it may present with symptoms of muscle tenderness, extremity pain, nausea, and vomiting after quail consumption.
authors.affiliation: Medicine Faculty, Department of Emergency Medicine, Cumhuriyet University, Sivas, Turkey.
authors.forename: Ilhan
authors.initials: I
authors.lastname: Korkmaz
authors.forename: Fatma Mutlu
authors.initials: FM
authors.lastname: Kukul Güven
authors.forename: Sevki Hakan
authors.initials: SH
authors.lastname: Eren
authors.forename: Zeki
authors.initials: Z
authors.lastname: Dogan
mesh_terms: D000328:Adult; D000818:Animals; D006801:Humans; D008297:Male; D008460:Meat / Q000506:poisoning*; D010146:Pain / Q000209:etiology; D010947:Plants, Toxic / Q000506:poisoning; D011784:Quail; D012206:Rhabdomyolysis / Q000209:etiology*; D012639:Seeds / Q000506:poisoning; D014421:Turkey; D014839:Vomiting / Q000209:etiology; D055815:Young Adult