CASE 24.--Rather remarkable. Reported by Dr. Lloyd Parry, of
Emmaville, N.S.W., in _Gazette_ of March, 1891, and further
particulars in private correspondence with writer. A Chinese
miner, aged 30 years, was bitten on the back of the foot by a
death adder. His mates, deeming medical aid useless, did not send
for Dr. Parry until death was imminent, and then only with a view
of getting a certificate of death, and avoiding autopsy and
inquest. When seen, three hours after infliction of bite, the man
was deeply comatose and pulseless, skin icy cold, pupils dilated
and insensible to light, lower jaw hanging down and tongue
protruding, respiration scarcely perceptible. He was in fact so
near death that this event was expected to take place from minute
to minute. In order to task the antidote to the utmost, Dr. Parry
cut the tight ligature without excising the bitten skin and then
injected xv. of liq. st. P.B. To his surprise in a few minutes the
man began to groan and very soon afterwards became conscious. Dr.
Parry then watched him carefully and in about an hour found coma
returning, when another injection was made and roused him for
good. There was much swelling and effusion in the leg, but no ill
effects followed.
In this case, judging from the comparatively small quantity of the
antidote required, only a small amount of poison had been
imparted, the bite being on the back of the foot, where the fangs
cannot penetrate deeply. Still there can be no doubt that even
this small quantity of the justly dreaded death adder poison would
have proved fatal, if it had not been counteracted by the
antidote.
CASE 25, reported from Tasmania by Dr. Holmes, of Launceston,
presents different features, showing the very large quantity of
the antidote sometimes required. After describing the condition of
his patient, a Mrs. Frazer, of St. Leonards, Dr. Holmes
writes:--"From her desperate condition I thought it too late for
the ammonia treatment and decided on injecting liq. strychniæ. At
12.30 p.m. injected m. xv, at 1.40, m. xv., at 2.10, m. xv., at
2.40, m. xv., and 3.10, m. xv., at 4 p.m., m. x., and at 5, m. x.
A few minutes after the last dose I noticed the physiological
action of the drug and desisted from injecting. At 8 p.m. she
seemed almost well, pupils normal in size and reacting well, was
not sleepy and could swallow easily. The patient made a good
recovery."
This is the largest quantity of strychnine that has been required
in Australia, namely, 126 minims of liq. strych., or 1-1/9th gr.
injected in less than five hours, with the most beneficial result.
Surely the most cynical scepticism must give in to such facts.
Public-domain text, read in full here on John Shaqi.
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