Text-book of forensic medicine and toxicologyBuchanan, R. J. M. (Robert James McLean)
Science
Text-book of forensic medicine and toxicology
Buchanan, R. J. M. (Robert James McLean)
Medical jurisprudence; Poisons
Poisoning by this substance is more common in France than in England.
In England, the deaths due to this poison are more frequently the
result of accident, from the incautious use of phosphorus paste for the
destruction of vermin. These pastes generally contain from 3 to 4 per
cent. of phosphorus. Children have also been poisoned by sucking the
heads of lucifer matches. In one case, that of a child, death followed
from sucking about forty matches. It has most frequently been employed
as a means of suicide, but seldom for the purpose of homicide. One
case, however, occurred at the Bodmin Assizes in 1857. Kopf relates a
case of a young woman, aged twenty-four, who died on the fourth day
after swallowing the heads of six packets of lucifers (_Allg. Wien.
Med. Ztg._, No. 47, 1819; Schmidt, vol. cv. p. 296). The size of the
packets is not stated. In this case the bowels were confined, and the
_post-mortem_ revealed only the redness of inflammation in the stomach
and bowels. Death has followed inunction of phosphorus paste.
_General Characters._--There are two kinds--ordinary waxy, crystalline
phosphorus, and a peculiar form known as red allotropic or amorphous
phosphorus, prepared by heating waxy phosphorus to a temperature
of 240° C., in an atmosphere free from oxygen. The ordinary yellow
phosphorus is poisonous, the red or amorphous non-poisonous. As
found in the shops, phosphorus is preserved in water in the form
of translucent white or slightly yellow-coloured cylinders. It is
sparingly soluble in oil, alcohol, and other hydrocarbons, but greatly
so in bisulphide of carbon. White vapours are given off when it is
exposed to the air, these consisting of phosphorus and phosphoric acids.
_Symptoms._--Phosphorus acts as an irritant poison, but some days may
elapse after the poison is taken before the injurious effects become
apparent. The symptoms occur in three stages.
_First stage:_ The patient complains of a garlic-like taste in the
mouth, peculiar to poisoning by this substance. This is followed by a
burning sensation in the throat, accompanied with severe pain in the
stomach, and intense thirst. The belly becomes swollen, and there is
vomiting, in some cases, of blood from the stomach, which may continue
till death. The vomited matters are of a dark green or black colour,
with an odour of garlic, and sometimes appearing phosphorescent in the
dark. This condition may also be observed in the motions passed. There
is intense thirst. The pulse is feeble, the countenance anxious, and
the surface of the body bathed in a cold sweat. In males, priapism is
not infrequent. The nervous and muscular debility is intense, and the
patient may die in a state of collapse or during a fit of convulsions.
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