=Alimentary Intoxications.=--What we have already stated permits
us to understand the phenomena of indigestion and botulism. The
toxic substances form within the digestive tract when the nervous
conditions modify the composition of the gastric juice, and arrest
the flow of hydrochloric acid, the presence of which normally checks
the development of the microbial flora, so rich within the stomach.
The result is the production, within the organism, of all kinds of
dangerous toxins. The same thing happens when the liver does not
functionate normally, and this, affords us a knowledge of the mechanism
by which foods that are most wholesome may become toxic by reason of
poor digestion or poor assimilation.
The absorption of spoiled viands may, _a fortiori_, produce serious
results. The alteration may be due not only to a bacterial infection,
as in tainted meat, but it has also been proved that the flesh of an
animal that has died of terror or madness may be very dangerous as a
food, even after cooking, because, although there are toxins which are
destroyed by a sufficient heat, there are ptomaines and certain toxins
that resist destruction under these conditions.[74]
[74] POLLIN and LABIT: _Examens des aliments suspects_, Masson,
publisher.
The use of preserved but spoiled beef, preserved ham or birds, sausages
frequently, and pieces of pork tainted by sausage poison, gives rise to
a succession of toxic symptoms the principal ones of which are dryness,
constriction of the pharynx, bilious vomiting, diarrhea, dyspnea with
pulmonary edema, etc. Fish and eggs are foods quite frequently capable
of developing serious results; the same is the case with molluscs,
mussels, oysters, lobsters, and snails. Lastly, moldy bread, spoiled
cheese, putrid water, and spoiled vegetables themselves, are proper
agents for determining attacks of botulic poisoning.
We have seen, at the beginning of this volume, that putrid meats
contain ptomaines, which are among the most toxic alkaloidal bases. We
have shown that Brieger has isolated from them neuridine, putrescine,
muscarine, and guanidine; that Nencki has isolated hydrocollidine;
and that Gautier and Etard have obtained from them parvoline--only to
mention a few of them.
Lastly, there may develop within the gastrointestinal tract dangerous
putrefactions, the products of which may enter the veins and arteries
from the ileum (a portion of the small intestine) and be distributed
throughout the organism. Although such poisonings occur, they do not
immediately follow the ingestion of the spoiled or toxic foods, but
they are always preceded by a period of incubation varying from several
hours to several days.
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