Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physicChristison, Robert, Sir
Science
Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physic
Christison, Robert, Sir
Medical jurisprudence; Toxicology
The importance of the fact established by these cases will appear from
the following medico-legal inquiries. A Prussian medical college was
consulted in the case of a new-born child, in which the stomach and
intestines were healthy, and did not contain poison, but in which the
cuticle of the lips was easily scraped off, the gums, tongue, and mouth
yellowish-green, as if burnt, the velum and uvula in the same state, the
rima glottidis contracted, and the epiglottis, larynx, and fauces
violently inflamed. The College declared, that a concentrated acid had
been given, and that death had been occasioned by suffocation. Sulphuric
acid was found in the house; and the mother subsequently confessed the
crime.[270] A case was formerly quoted (p. 75), where MM. Ollivier and
Chevallier found traces of the action of nitric acid on the lips, mouth,
throat and upper fourth of the gullet, but not lower. In this instance
the reporters came to the opinion from the absence of injury in the more
important parts of the alimentary canal, as well as from the marks of
nail scratches on the neck, and the gorged state of the lungs, that
death had been produced by strangling, after an unsuccessful attempt by
the forcible administration of nitric acid. It is quite possible,
however, that death might quickly ensue from the effects of the poison
on the throat and gullet. In the course of the judicial inquiries M.
Alibert stated that he had known repeated instances of death from
swallowing nitric acid, although none of it reached lower down than the
pharynx. Ollivier in his paper doubts the accuracy of this statement;
but the cases quoted above show clearly that such injury may be done to
the glottis as will be adequate of itself to occasion death.[271]
It seems farther not improbable that, among the terminations of
poisoning with the strong mineral acids, scirrhous pylorus must also be
enumerated. This is a very rare effect of the action of corrosive
poisons. But M. Bouillaud has related an instance of death from
scirrhous pylorus in its most aggravated shape, which supervened on the
chronic form of the effects of nitric acid, and which proved fatal in
three months.[272]
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