_Nitro-glycerin_ (triple nitric acid ester of glycerin, C₃H₅.[NO₃]₃),
the well-known oily explosive liquid, has also an irritant local effect.
When absorbed into the body, in addition to methæmoglobin formation, it
causes dilatation of the bloodvessels, slowing of the respiration and
heart’s action, and attacks of suffocation. The general remarks upon this
group apply here, but symptoms referable to central paralysis occur as
the methæmoglobin formation is slow. Industrial poisoning arises through
inhalation of gases containing nitro-glycerin and also by absorption
through the skin. Statements as to its poisonous nature are very varied.
Under certain conditions moistening the skin with small quantities of
nitro-glycerin suffices to produce symptoms. Probably the susceptibility
of different persons varies greatly.
_Amylnitrite_ (nitric acid amyl ester, C₅H₁₁NO₂), a characteristically
smelling liquid, acts similarly. The fumes of amylnitrite, even when
inhaled in small quantities, cause marked dilatation of the bloodvessels,
through paralysis of the muscular walls of the bloodvessels, thus causing
marked flushing of the face; the pulse becomes quick, then weak and slow.
NITRO AND AMIDO COMPOUNDS
AROMATIC SERIES
The substances of this group are important.
_Nitrobenzene_ (C₆H₅NO₂, named oil of mirbane), a yellowish liquid of
characteristic smell, induces especially the formation of methæmoglobin
in the blood; the effect upon the central nervous system (first
excitation, then depression) is often absent. The description of the
disease in general in the introductory words of this whole group is
characteristic. Occasionally signs of asphyxia show themselves; sometimes
there are twitchings, disturbance of the power of sensation, and
convulsions; early discoloration of the mucous membrane and the skin,
which assume a blue to grey-black colour, is characteristic.
Chronic poisoning is also attributed to nitrobenzene, showing itself in
lassitude, headache, malaise, giddiness, and other disturbances of the
nervous system.
_Nitrotoluene_ (C₆H₄CH₃NO₂), of which the ortho-compound acts most
powerfully, and also _nitroxylene_ (C₆H₃[CH₃]₂NO₂) have similar but less
marked effect.
The _dinitrobenzenes_ (C₆H₄[NO₂]₂) are stable bodies. Meta-dinitrobenzene
inhaled as dust or otherwise, can produce marked poisoning symptoms
essentially the same as those described. Especially characteristic is the
early dark discoloration of the skin.
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