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
patient passes to death in sleep without delirium. In this common form
there is in a few cases, at the end of from twenty-four to thirty hours,
a remission of the symptoms, and a non-medical observer might imagine
that the patient was about to recover without further discomfort; but
then jaundice supervenes, and the course is as described. Infants often
do not live long enough for the jaundiced stage to develop, but die
within twenty-four hours, the chief symptoms being vomiting and
convulsions.
§ 281. =Hæmorrhagic Form.=--The symptoms set in as just detailed, and
jaundice appears, but accompanied by a new and terrible train of
events--viz., great effusion of blood. In some cases the blood has been
poured out simultaneously from the nose, mouth, bladder, kidneys, and
bowels. Among women there is excessive hæmorrhagia. The liver is found
to be swollen and painful; the bodily weakness is great. Such cases are
usually of long duration, and a person may die months after taking the
poison from weakness, anæmia, and general cachexia. In many of its
phases the hæmorrhagic form resembles scurvy, and, as in scurvy, there
are spots of purpura all over the body.
§ 282. =The nervous form= is less common than the two forms just
described. From the beginning, there are strange creeping sensations
about the limbs, followed by painful cramps, repeated faintings, and
great somnolence. Jaundice, as usual, sets in, erythematous spots appear
on the skin, and, about the fifth day, delirium of an acute character
breaks out, and lock-jaw and convulsions close the scene.
The following are one or two brief abstracts of anomalous cases in which
symptoms are either wanting, or run a course entirely different from any
of the three forms described:--
A woman, aged 20, took about 3 grains of phosphorus in the form of
rat-paste. She took the poison at six in the evening, behaved according
to her wont, and sat down and wrote a letter to the king. During the
night she vomited once, and died the next morning at six o’clock,
exactly twelve hours after taking the poison. There appear to have been
no symptoms whatever, save the single vomiting, to which may be added
that in the course of the evening her breath had a phosphorus odour and
was luminous.[284]
[284] Casper’s 205th case.
A girl swallowed a quantity of phosphorus paste, but there were no
marked symptoms until the fifth day, on which there was sickness and
purging. She died on the seventh day. A remarkable blueness of the
finger nails was observed a little before death, and was noticeable
afterwards.[285]
[285] Taylor on _Poisons_, p. 277.
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