Medical Jurisprudence, Volume 2 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 2 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
2. _Consecutive Poisoning._ Where the patient, having recovered from the
acute effects occasioned by the ingestion of a single dose of poison,
_subsequently suffers a series of symptoms from the injured structure to
which it had given origin_. By referring to our definition of _slow_
poisoning, we shall at once perceive the striking and important
distinction between that and _Consecutive poisoning_. The following
case, related by M. _Orfila_, may serve as an illustration. _Maria
Ladan_ drank by mistake a spoonful of _Aqua fortis_, the most violent
symptoms supervened, but which by judicious treatment gradually
subsided, when at length she passed by stool a long membranous
substance, rolled up, and which represented the form of the æsophagus
and stomach, and which, in fact, was found to be the interior membrane
of these organs; from that moment the sensibility of the digestive
organs became excessive, and two months after the accident she
experienced a sudden shock and died. M. _Tartra_, in observing upon
cases of this kind, asserts that the symptoms produced at first by the
nitric acid decrease insensibly; and that at the end of a certain
period, the internal membrane of the digestive canal is struck with
death, and thrown off, and the person dies of a _Marasmus_.
_Fordyce_[149] relates the case of a woman who was subject to cholics
for the space of thirty years, in consequence of having _once_ taken an
infusion of the pulp of Colocynth prepared with beer. This was
undoubtedly an extraordinary instance of idiosyncrasy, but it is
probable that some organic lesion was occasioned by its operation, to
which the subsequent suffering is to be referred. We have hitherto only
considered the effects that may arise from the ingestion of a _single_
dose of poison, but there are numerous and very interesting cases in
which fatal results have been produced by the repetition of small doses
at various intervals. We therefore propose a third, and new subdivision
of our subject, viz.
3. _Accumulative Poisoning._—By the repeated administration of a
substance, in doses, of which no single one could occasion harm; but
which, by gradually accumulating in the system, ultimately occasions
disease, and death.
The familiar operation of mercury will at once suggest itself to the
Physician, as a striking illustration of that species of poisoning which
we have ventured to name _Accumulative_, and to the forensic student the
effects of this metal, in reference to such a quality, will form a more
than ordinary object of interest, as involving questions which have
frequently embarrassed judicial inquiry; as, for instance, _Whether it
can lie dormant any considerable time without betraying its effects upon
the constitution_, and, having displayed its powers, and the symptoms
having subsided, viz. salivation, &c. _Whether they can be renewed
without a fresh application of the substance?_ See Corrosive sublimate.
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