Poisoning with the salts of copper is of comparatively rare occurrence;
when it happens, it is generally the result of accident. The metal
itself is not poisonous, but the action of the gastric juice may produce
a very deleterious salt. Copper coins, when swallowed, sometimes on this
account prove mischievous; though usually any ill effects which ensue
are due to their mechanical action. Salts of copper have been
accidentally introduced into the system by means of food which has been
cooked in copper saucers. The most important substances of this class
to the toxicologist are the following:
SULPHATE OF COPPER (_Blue Vitriol_).—Blue-stone is met with in large
crystals, which are very soluble in water and possess an acrid metallic
taste. In doses of half an ounce it acts as a powerful irritant. It has
been administered to procure abortion. In the case of a child sixteen
months old, who sucked some pieces of blue-stone with which she was
playing, death occurred in four hours.
SUBACETATE OF COPPER (_Verdigris_).—This preparation is met with in
masses, or in the form of a greenish powder. It possesses a powerful
astringent metallic taste. It is often produced by allowing substances
to stand in coppers. It has proved fatal in half ounce doses.
ARSENITE OF COPPER (_Mineral Green_).—The effects of this salt have
been already referred to.
_Symptoms._—Pain in the epigastrium, gradually extending over the
abdomen, violent vomiting—the vomited matters being of a blue or green
color—and diarrhœa, are the symptoms which set in the most speedily.
Then there is usually dyspnœa, great depression, coldness of the
extremities, headache with giddiness, and slight tetanic convulsions.
Sometimes there is suppression of urine. Jaundice very frequently
occurs—a symptom the more important, as it is rarely met with in most
other forms of poisoning. Occasionally stupor, coma, and paralysis
supervene. Should death ensue, it may occur within a few hours, or not
for several days.
The salts of copper taken in very small doses, for several days, give
rise to a metallic taste in the mouth, thirst, debility, cramps and
colicky pains, with symptoms of dysentery. In some instances there has
been found retraction of the gums with the formation of a purple line,
very distinct from the blue mark due to lead.
_Post-mortem Appearances._—Evidences of inflammation are usually found
in the stomach and intestines, the mucous membrane being often ulcerated
and of a blue-green color. Particles of the poison may sometimes be
found adhering to the coats of the bowel. Perforation of the intestines
has occurred.
_Treatment._—Vomiting sets in spontaneously, and is to be encouraged by
the use of warm water. The stomach pump will rarely be needed. The only
effectual antidote is albumen. The whites and yolks of several eggs
should therefore be given, followed immediately by milk or mucilaginous
drinks.
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