Cook, John Parsons, -1855; Palmer, William, 1824-1856 -- Trials, litigation, etc.; Trials (Murder) -- England -- London
I have in the course of my experience had cases of traumatic tetanus. It
generally begins by an attack of the jaw. I have had under my personal
observation four cases of idiopathic tetanus. One of them was my own
child. In three cases the symptoms commenced with lockjaw. In the
fourth case the symptoms commenced in the body; the power of swallowing
easily was retained to the last. Within the last twelve months I have
made a post-mortem examination of two women who have died from the
poison of strychnia. In both cases it was by chemical analysis that I
ascertained the deaths had been caused by strychnia. In one case the
post-mortem took place forty-two hours after death, in the other case
thirty hours.
(The witness produced his report to the coroner on these two cases.)
I have not seen a fatal case, but several of taking too large a dose.
One, a middle-aged man, took one-sixth of a grain of strychnia, given in
solution. In a very few minutes the symptoms manifested themselves by
the want of power of controlling the muscles, by twitching and rigidity,
with some cramp, more violent in the legs than any part of the body. He
was up and walking about. It was not a severe case. In six hours the
spasms entirely disappeared. They were intermittent in character, every
two or three seconds at first. The other case was similar with
one-twelfth of a grain.
I have experimented on upwards of sixty animals--dogs, cats, mice, rats,
guinea pigs, rabbits, frogs, and toads. After the ingestion of the
poison the symptoms appear from two minutes to thirty, more generally
about five or six. The symptoms in their order are--a desire to be quite
still; hurried breathing; slavering at the mouth when given at the
mouth; twitching of the ears; trembling of the muscles; inability to
walk; convulsion of all the muscles of the body; the jaws generally
being firmly closed during convulsions; these convulsions followed by a
total want of power in the muscles, which, in the last attacks, were
thrown into violent spasms with a galvanic-like shock running through
them. Spasms come on if the animal is either touched or attempts to
move. These spasms occur at various periods. The animals die at various
periods up to three and a half hours. In every case before death the
rigidity ceases, and the muscles are quite soft and powerless. The
longest intervals between the violent convulsions in the animals to
which strychnia has been administered has been about half an hour, but
that is not common. After death the hearts of the animals have been
invariably full on the right side, very generally the left ventricle
firmly contracted, and the blood usually dark and often fluid. There is
no particular appearance attached to the spine. I have attended to the
evidence as to the symptoms of Mr. Cook on the Monday and Tuesday
nights.
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