Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physicChristison, Robert, Sir
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Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physic
Christison, Robert, Sir
Medical jurisprudence; Toxicology
In cases such as those now described death often occurs about
twenty-four hours after the poison is swallowed, and generally before
the close of the third day. But on the one hand life has been sometimes
prolonged, without the supervention of the symptoms belonging to a
different variety of cases, for five or six days,[627] nay perhaps even
for several weeks. And, on the other hand, the symptoms of irritation of
the alimentary canal are sometimes distinct, although death takes place
in a much shorter period than twenty-four hours. Metzger has related a
striking case, fatal in six hours, in which the symptoms were acute
colic pain, violent vomiting, and profuse diarrhœa;[628] and Wildberg
has related a similar case fatal in the same time.[629] Hohnbaum
describes another fatal in five hours;[630] and I met with as brief a
case in this city in 1843, where all the usual symptoms of irritation in
the stomach and bowels were violent. These symptoms were also present at
first in Mr. Stallard’s case, which was fatal in four hours; Pyl has
recorded one, where all the signs of irritation in the stomach and
intestines were present, except vomiting, and which proved fatal in
three hours;[631] and Dr. Dymock met here with a similar instance which
lasted only two hours and a half.[632] This is one of the shortest
undoubted cases of poisoning from arsenic I have hitherto found in
authentic records. Dr. Male mentions one, which was fatal in four
hours;[633] Wepfer another equally short;[634] Johnston another fatal in
three hours and a half;[635] and I shall presently mention others
without symptoms of irritation which ended fatally in two, five, or six
hours [p. 242].[636] Wibmer has even quoted a case fatal in half an
hour; but there seems to have been some doubt whether the poison taken
was arsenic.[637]
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