Remarks.--In connection with echis bites one peculiar symptom was
always noticed, namely, the free oozing of blood from mucous
surfaces and old scars of wounds. The power of co-ordination was
very much affected from the first setting in of other symptoms.
Usually after 24 hours symptoms showed a relapse. In the treatment
with strychnia neither the symptoms of the drug nor of the
snake-poison ever showed themselves afterwards. Both seemed to
neutralise each other. Bungarus coeruleus, or kerait-bite, had its
own peculiar symptoms of cyanotic patches and insensibility,
swooning and stertorous breathing. The true comatose state was not
present in any, but only a slight one noticed in cases 4 and 5.
The other cases were generally delirious in the beginning.
CASE 8.--Dr. Banerjee communicated this case to the _Australasian
Medical Gazette_ separately and quite recently, November, 1892. It
is, of all his cases, the most important one. He writes:--"The
following case increases my number to eight, and should clear away
prejudice and prepossessed ideas, as strychnine saved this case, a
bite of _Duboia Russellii_. This snake is admitted by all hands to
be virulently poisonous, and the poison is said to be even more
virulent than that of the dreaded cobra:"--
_Rahimudden_, aged 43, Mussulman, customs peon, admitted for
treatment of snakebite on the 13th September, 1892, at 10.45 p.m.,
to the North India Salt Revenue Hospital, Pachhadra, Rajputana,
India, and put under my treatment.
_History of the Case._--The man is of strong build and healthy
constitution. While on duty he went round the salt pit, near his
beat. Suddenly he felt a prick on his foot, and, suspecting
snakebite, struck out with a bamboo stick he carried in his hand,
and heard the snake make a loud noise. He at once tore a piece of
cloth from his turban, and tied it tightly above the right ankle
joint round the leg, then tried to kill the snake, but could not
do so with certainty, as it was dark. He reported the case to his
superiors, and was carried to the hospital. Bitten at 9.30 p.m.;
admitted at 10.45 p.m.
_Present Symptoms._--Patient was delirious, and could not
understand what was told him; body cold and covered with
perspiration; breathing hurried, with a low rattle at the end of
expiration; mouth, tongue, and palate all dry; tongue leather-like
and cracked, and felt cold; tickling of throat, not exciting
vomiting; pupils dilated; conjunctiva congested; pulse 95; patient
talked, or rather muttered, with difficulty; could not tolerate
strong light or loud noise; the mucous membrane of the mouth
showed irregular dark patches of ecchymosed blood.
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