Poisons, Their Effects and Detection: A Manual for the Use of Analytical Chemists and ExpertsBlyth, Alexander Wynter
Science
Poisons, Their Effects and Detection: A Manual for the Use of Analytical Chemists and Experts
Blyth, Alexander Wynter
Poisons
The greatest amount of sulphuric acid as mineral and organic sulphate is
separated, according to Mannkopf[77] and Schultzen,[78] within five
hours after taking sulphuric acid; after three days the secretion, so
far as total sulphates is concerned, is normal.
[77] “Toxicologie der Schwefelsäure,” _Wiener med. Wochen._, 1862, 1863.
[78] _Archiv. f. Anatom. u. Physiol._, 1864.
The normal amount of sulphuric acid excreted daily, according to
Thudichum, is from 1·5 to 2·5 grms., and organic sulphur up to ·2 grm.
in the twenty-four hours, but very much more has been excreted by
healthy persons.
Lehmann made some observations on himself, and found that, on an animal
diet, he excreted no less than 10·399 grms. of sulphuric acid per day,
while on mixed food a little over 7 grms.; but, as Thudichum justly
observes, this great amount must be referred to individual peculiarity.
The amount of sulphates has a decided relation to diet. Animal food,
although not containing sulphates, yet, from the oxidation of the
sulphur-holding albumen, produces a urine rich in sulphate. Thus Vogel
found that a person, whose daily average was 2·02 grms., yielded 7·3 on
a meat diet. The internal use of sulphur, sulphides, and sulphates,
given in an ordinary medicinal way, is traceable in the urine,
increasing the sulphates. In chronic diseases the amount of sulphates is
decreased, in acute increased.
Finally, it would appear that the determination of sulphates in the
urine is not of much value, _save when the normal amount that the
individual secretes is primarily known_. On the other hand, a low amount
of sulphates in the urine of a person poisoned by sulphuric acid has not
been observed within three days of the taking of the poison, and one can
imagine cases in which such a low result might have forensic importance.
The presence of albumen in the urine has been considered by some a
constant result of sulphuric acid poisoning, but although when looked
for it is usually found, it cannot be considered constant. O.
Smoler,[79] in eighteen cases of various degrees of sulphuric acid
poisoning, found nothing abnormal in the urine. Wyss[80] found in the
later stages of a case indican and pus. E. Leyden and Ph. Munn[81]
always found blood in the urine, as well as albumen, with casts and
cellular elements. Mannkopf[82] found albuminuria in three cases out of
five; in two of the cases there were fibrinous casts; in two the albumen
disappeared at the end of the second or third day, but in one it
continued for more than twenty days. Bamberger[83] has observed an
increased albuminuria, with separation of the colouring matter of the
blood. In this case it was ascribed to the action of the acid on the
blood.
[79] _Archiv der Heilkunde red. v._ E. Wagner, 1869, Hft. 2, S. 181.
[80] _Wiener Medicinal-Halle_, 1861, Jahr. 6, No. 46.
[81] Virchow’s _Archiv f. path. Anat._, 1861. Bd. 22, Hft. 3 u. 4, S.
237.
[82] _Wien. med. Wochenschrift_, 1862, Nro. 35; 1863, Nro. 5.
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