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
Oscar Wyss,[310] in the case of a woman twenty-three years old, who died
on the fifth day after taking phosphorus, describes, in addition to the
fatty appearance of the cells, a new formation of cells lying between
the lobules and in part surrounding the gall-ducts and the branches of
the portal vein and hepatic artery.
[310] Virchow’s _Archiv. f. path. Anat._, Bd. 33, Hft. 3, S. 432, 1865.
Salkowsky[311] found in animals, which he killed a few hours after
administering to them toxic doses of phosphorus, notable hyperæmia of
the throat, intestine, liver, and kidneys--both the latter organs being
larger than usual. The liver cells were swollen, and the nuclei very
evident, but they contained no fat, fatty drops being formed afterwards.
[311] _Ibid._, Bd. 34, Hft. 1 u. 2, S. 73, 1865.
§ 294. =The kidneys= exhibit alterations very similar and analogous to
those of the liver. They are mostly enlarged, congested, and flabby,
with extravasations under the capsule, and show microscopic changes
essentially consisting in a fatty degeneration of the epithelium. In
cases attended with hæmorrhage, the tubuli may be here and there filled
with blood. The fatty epithelium is especially seen in the contorted
tubes, and the walls of the vessels, both of the capsule and of the
malpighian bodies, also undergo the same fatty change. In cases in which
death has occurred rapidly, the kidneys have been found almost healthy,
or a little congested only. The pancreas has also been found with its
structure in part replaced by fatty elements.
Of great significance are also the fatty changes in the general muscular
system, and more especially in the heart. The muscular fibres of the
heart quickly lose their transverse striæ, which are replaced by drops
of fat. Probably this change is the cause of the sudden death not
unfrequently met with in phosphorus poisoning.
=In the lungs=, when the phosphorus is taken in substance, there is
little “naked-eye” change, but Perls,[312] by manometric researches, has
shown that the elasticity is always decreased. According to experiments
on animals, when the vapour is breathed, the mucous membrane is red,
congested, swollen, and has an acid reaction.
[312] Deutsch. _Archiv f. klin. Med._, vi. Hft. 1, S. 1, 1869.
=In the nervous system= no change has been remarked, save occasionally
hæmorrhagic points and extravasations.
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