OXALIC ACID (_Acid of Sugar_).—This is one of the most important
poisons with which we have to deal. From its cheapness and well-known
properties it is frequently made use of in cases of suicide, while from
its resemblance to Epsom salts it has on several occasions been taken in
mistake for that medicine. The smallest dose which is known to have
proved fatal is one drachm, which killed a boy æt. sixteen in eight
hours. Taylor relates the case of a woman, aged twenty-eight, who was
found dead one hour after swallowing three drachms of the crystallized
acid. Christison mentions an instance in which one ounce destroyed life
in ten minutes, and another case where the same quantity killed a girl
in thirty minutes. One example has been recorded where a fatal result
ensued probably within three minutes of the acid being swallowed.
The poisonous properties of the _Binoxalate of Potash_ (Salt of Sorrel,
Essential Salt of Lemons) are due to the oxalic acid it contains. This
salt, which exists in the leaves of the wood sorrel (Oxalis acetosella),
is sold to bleach straw, remove ink-stains, &c. It is very cheap; is
almost as powerful as oxalic acid itself, and gives rise to the same
kind of symptoms; it has been taken for the purpose of suicide, as well
as in mistake for the bitartrate of potash, or cream of tartar.
Oxalate of lime exists in considerable quantity in the leaves and stalks
of the common edible rhubarb (Rheum Rhaponticum). It can hardly be
considered poisonous.
_Symptoms._—The effects of poisoning by oxalic acid are peculiar. When
the dose is large (half an ounce or more) and the solution concentrated,
it proves very rapidly fatal. It produces a hot burning sensation in the
fauces and œsophagus in the act of swallowing, severe burning pain in
the stomach, and in most instances immediate vomiting. The vomited
matters are strongly acid, of a dirty green or black color, and consist
of the contents of the stomach with altered mucus and blood. The
remaining symptoms are a sense of constriction or suffocation, lividity
of the countenance, great prostration of strength, feeble pulse, cold
clammy perspirations, and convulsions, which speedily terminate in
death. When a smaller quantity has been taken, much diluted, its
corrosive properties are weakened or destroyed, but the nervous
symptoms, as cramps and numbness, may be well marked.
In cases of recovery the mouth may remain sore for some time, the tongue
swollen, the abdomen tender, the stomach very irritable, and there may
be troublesome diarrhœa. In two instances there has been loss of
voice for several days, owing to the action of the poison on the nervous
system. Twitching of the muscles of the face and extremities has also
been observed.
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