CORROSIVE SUBLIMATE (_Oxymuriate of Mercury_, _Chloride of Mercury_,
_Bichloride of Mercury_).—This preparation of Mercury, which, more
strictly speaking, belongs, like the chlorides of zinc and antimony, to
the class Corrosives, is usually met with in the form of imperfect
crystalline masses, or as a white powder. It has an acrid, coppery
taste, so powerful that but little could be swallowed without the
individual becoming aware of it. It is very soluble in water. Three
grains is the smallest quantity that has been known to prove fatal; and
from this to five grains may probably be stated as the average dose
necessary to destroy life. Recovery has taken place after as much as
eighty grains had been swallowed. Death has occurred in less than half
an hour; while, in some instances, life has been maintained until the
sixth day, and in one instance (where between three and four scruples
had been swallowed) until the twelfth day. It is probable that the
average duration of fatal cases is from twenty-four to thirty-six hours.
_Symptoms._—In the majority of cases the symptoms commence immediately,
with an acrid metallic taste, often described as coppery, and a sense of
constriction and burning heat in the throat and stomach. The burning
pain gradually extends over the abdomen, and is much increased by
pressure. There is nausea, with vomiting of the contents of the stomach.
These matters are sometimes mixed with blood and stringy masses of
mucus. The sickness is accompanied by diarrhœa or dysentery, swelling
of the abdomen, and increased pain. The countenance becomes flushed and
often swollen, though it is occasionally pallid and anxious; the lips
and tongue get white and shrivelled; there is frequently some
dyspnœa, while the pulse is small, or wiry and frequent; and death is
preceded by faintness, cramps, insensibility, or convulsions.
Should these effects not prove rapidly fatal, the pain will gradually
become lessened, though attacks of colic and nausea may come on at
intervals for several days. Often the secretion of urine is almost, or
even quite, suppressed. After a time there are symptoms of hectic fever,
with much depression. The gums and salivary glands also become swollen,
there is a coppery taste in the mouth, the breath is very fœtid, and
there is severe ptyalism or salivation. This latter effect is the most
prominent feature in the _chronic_ form of poisoning, where small and
frequently-repeated doses have been given: it often proceeds to such an
extent as to cause death, when the patient would otherwise probably
recover.
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