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Poisoning by glycerine of belladonna
This report, by William
Young MD
FRCS (Wellington E.), is taken from the
New Zealand Medical Journal 1902, Volume 2 (7), pp368–9.
A patient of mine had been suffering from hypertrophy of one
breast with pain, for which I had ordered the external application of glycerinum
belladonnae, 50 per cent. of which consists of ext. belladonnae. Some weeks
later, suffering from a cough, she obtained a bottle of “Baxter’s
Lung-preserver.” Unfortunately for the woman, the two solutions are
somewhat similar in appearance, and were put up in bottles of similar size,
though the former bore a poison-label. One night, to soothe her cough, she drank
from one of the bottles, without measuring it, some of what she supposed was the
cough-mixture, but which she immediately afterwards discovered was the poison.
The amount of glycerine of belladonna which the patient drank is uncertain, but
was probably between one drachm and four drachms. Her husband soon after
administered an emetic of mustard and salt with warm water, which produced
vomiting.
I arrived on the scene about half an hour after the dose was
taken, and found the patient sitting up in bed flushed and excited, with
moderately dilated pupils, “a mist before the eyes,” dry mouth, and
a burning pain in the stomach, a symptom probably due to the mustard. Using an
oesophageal tube and warm water, I washed out the stomach. The first washing was
green in colour, and evidently contained the green extract of belladonna. No
antidote was administered, and no fresh symptoms developed. On the second day
afterwards the sight was normal and the patient in her usual health.
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