It must not be forgotten that salivation sometimes arises where no
mercurial of any kind has been given. Thus arsenic, bismuth, lead,
iodide of potassium, opium, &c., may induce it in some very peculiar
constitutions. Small medicinal doses (as a few grains of calomel) may
also excite it in certain susceptible individuals; and especially in
persons suffering from renal disease. It may also occur spontaneously,
as in stomatitis or inflammation of the mouth; and very troublesome
examples of it may occur in pregnant women.
It is strange that neither in acute nor chronic mercurial poisoning do
we observe any marked loss of muscular power. Yet workers in quicksilver
(owing to the absorption of the fumes of mercury during respiration) are
very apt to suffer from a peculiar kind of paralysis; which commences
with inability to direct the hands and arms, and goes on to a shaking or
trembling of all parts of the body.
_Post-mortem Appearances._—The appearances produced by corrosive
sublimate are confined chiefly to the digestive canal. The mucous
membrane of the mouth, fauces, and œsophagus is softened and of a
whitish or bluish-grey color. The stomach also presents marks of violent
inflammation; beneath the mucous membrane numerous patches of
extravasated blood are seen, and frequently corrosion or ulceration has
been found. The large and small intestines, the peritoneum, and
especially the urinary organs, often appear inflamed. In many instances
the bladder has been much contracted.
_Treatment._—This must consist in the removal of the poison and the
administration of antidotes. Vomiting is best promoted by administering
copious draughts of fluids containing albumen: but if necessary
ipecacuan may be given. The white and the yolk of raw eggs with milk
should be abundantly administered. Gluten has been much recommended, and
may readily be prepared by washing flour in a muslin bag under a stream
of water; but on an emergency it will be best to exhibit the flour at
once, made into a paste with milk or water. The free use of demulcent
drinks, milk, and ice will be very grateful to the patient’s feelings.
Gargles of alum or borax do some good. Opiates may be given in small
doses, if there be much pain, and we should allow only a milk or
farinaceous diet. Sucking chlorate of potash has been recommended to
check the salivation. The most useful remedy, however, is the iodide of
potassium; for this salt destroys the compounds formed by the union of
mercury with certain of the tissues, and eliminates the poison through
the kidneys.
_Tests._—Corrosive sublimate is completely volatilized by heat.
1. Liquor potassæ added to its solution gives a yellow precipitate. This
precipitate, if washed, dried, and heated in a test tube, gives a ring
of metallic mercury in the form of globules in the cool part of the
tube. In like fashion corrosive sublimate itself may be reduced and
volatilized if heated with black flux.
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