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
Death may also be occasioned by the introduction of this acid into the
ear. Dr. Morrison relates a case of the kind, where nitric acid, which
is analogous in action, was poured by a man into his wife’s ear, while
she lay insensible from intoxication. She awoke in great pain, which
continued for two or three days. In six days an eschar detached itself
from the external passage of the ear; and this was followed by profuse
hemorrhage, which recurred daily more or less for a month. On the day
after the eschar came away, and without any precursory symptom
referrible to the head, she was attacked with complete palsy of the
right arm, and in eight days more with tremors and incomplete palsy of
the rest of that side of the body. These symptoms subsequently abated;
but they again increased after an imprudent exertion, and she died in a
state of exhaustion seven weeks after the injury. The whole petrous
portion of the temporal bone was found carious, but without any distinct
disease of the brain or its membranes.[277]
Sulphuric acid and the other mineral acids are equally poisonous when
inhaled in the form of gas or vapour; and they then act chiefly by
irritating or inflaming the mucous membrane of the air-passages and
lungs. For some observations on their effects in this form both on
plants and animals the reader may refer to the Chapter on Poisonous
Gases.
Sulphuric acid belongs to the poisons alluded to under the head of
General Poisoning,—of whose operation satisfactory evidence may be
occasionally drawn from symptoms only. If immediately after swallowing a
liquid which causes a sense of burning in the throat, gullet, and
stomach, violent vomiting ensues, particularly if the vomited matter is
mixed with blood; if the mouth becomes white, and stripped of its lining
membrane, and the cheeks, neck, or neighbouring parts show vesications,
or white, and subsequently brown excoriated spots;—if the clothes show
red spots and are moist and disintegrated there,—I cannot see any
objection to the inference, that either sulphuric or muriatic acid has
been taken. In this opinion I am supported by a good authority, Dr.
Mertzdorff, late medical inspector at Berlin.[278]
SECTION III.—_Of the Morbid Appearances caused by Sulphuric Acid._
The outward appearance of the body in cases of Tartra’s first variety in
the action of the acids is remarkably healthy; every limb is round,
firm, and fresh-looking.
On the lips, fingers, or other parts of the skin, spots and streaks are
found where sulphuric acid has disorganized the cuticle. These marks are
brownish or yellowish-brown, and present after death the appearance of
old parchment or of a burn; sometimes there are little blisters.[279]
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