ACCIDENTS CAUSED BY A VERY SMALL DOSE OF SANTONINE GIVEN TO A CHILD.
Santonine, being a tasteless vermifuge, is easily given to children, consequently its employment becomes daily more and more frequent; we therefore think it useful to expose the accidents which may follow the use of this medicine, when given in too large a dose. We refer to a case given in the Bulletin de Thérapeutique, by Dr. Spengler (d’Herborn). The patient, a child of four years old, who had been suffering for several months from intestinal worms, had taken at different times, and with success, a dose of a grain and a half. One day they gave him three grains in two doses; after the first dose he became troubled with pains in the epigastrium, colic, and vomiting. He had frequent stools, in which were found a number of ascarides. Notwithstanding these numerous evacuations, the bad symptoms continued to increase; his body became cold, his face livid, his eyes had a blue circle round them, a cold sweat broke out, his respiration became embarrassed, and his extremities convulsed. Besides these symptoms, M. Spengler mentions that there were dilatation of the pupils and great pain in the abdomen (not, however, increased by pressure). He prescribed milk in abundance, and after several evacuations, the potion of Rivière in an oily emulsion. The little patient was placed in a very warm bed; during the night he was much disturbed; the following day he took some doses of calomel, after which several worms were evacuated, and from that time he became convalescent. We have related this fact as a caution against the accidents which may result from the use of santonine, although the severity of the symptoms and the smallness of the dose may make us doubt whether the santonine was pure, or whether some other cause might not have produced the terrible results attributed to it.—Journal de Pharmacie et Chimie.
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ON POISONING BY NICOTINE. Read before the National Academy of Medicine. BY M. ORFILA.
GENTLEMEN,—In laying before the Academy a memoir on Nicotine, on the 20th of last month, I stated that I did not think I ought to read it, fearing that it might exercise some influence on the proceedings which were to take place at Mons, eight days afterwards. My scruples are now entirely removed, because I was present at the three first sittings of the Court of Assizes at Hainault, and have heard the examination of the accused persons, and the depositions of some of the witnesses. My memoir, supposing it to be published to-morrow, and consequently much before the sentence will have been pronounced, will not aggravate the situation of the accused, nor increase the power of the ministers of justice. You will see, in fact, that after describing nicotine, I came to the conclusion, that it may be easily detected in the digestive canal, the liver, the lungs, and all those organs into which it has been carried after its absorption. Now, M. de Bocarmé confesses that he prepared some nicotine, that Gustave Fougnies took an appreciable dose of it, and died very shortly afterwards. Consequently, he cannot dispute the fact of M. Stas having found this alkaloid in the body of his brother-in-law. It is of little importance to us that Madame de Bocarmé accuses her husband of being the author of the crime, whilst he, on the other hand, attributes the death of Gustave to a mistake of his wife’s, who might inadvertently have poured the nicotine into a glass instead of wine. It will be for the jury to decide what truth there is in these assertions; as scientific men, we ought to confine ourselves in this case to the solution of the chemical and medical problems relating to this subject.
I think I ought to read to the Academy the textual memoir, without the preamble, which I composed a fortnight ago, when the principal circumstances, which have since been developed, were but imperfectly known.
The principal object of this paper is to show:—
1. That we may characterize pure nicotine as easily as we can a poison derived from the mineral kingdom.
2. That we may detect this alkali in the digestive canal, and assert its existence there, although it is present only to the extent of a few drops. {18}