On snake poison : its action and its antidote / by A. Mueller.

  • Mueller, A.
Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: On snake poison : its action and its antidote / by A. Mueller. Source: Wellcome Collection.

    84/108 (page 68)
    G8 Rahimudden, aged 43, Mussulman, customs peon, admitted for treatment of snakebite on the 13th September, 1892, at 10.45 p.m., to the North India Salt Revenue Hospital, Pachhadra, Rajputana, India, and put under my treatment. History of the Case.—The man is of strong build and healthy constitution. W hile on duty he went round the salt pit, near his beat. Suddenly he felt a prick on his foot, and, suspecting snake- bite, struck out with a bamboo stick he carried in his hand, and heard the snake make a loud noise. He at once tore a piece of cloth from his turban, and tied it tightly above the right ankle joint round the leg, then tried to kill the snake, but could not do so with certainty, as it was dark. He reported the case to his superiors, and was carried to the hospital. Bitten at 9.30 p.m. ; admitted at 10.45 p.m. Present Symptoms.—Patient was delirious, and could not under- stand what was told him; body cold and covered witli perspiration ; breathing hurried, with a low rattle at the end of expiration; mouth, tongue, and palate all dry; tongue leather-like and cracked, and felt cold; tickling of throat, not exciting vomiting; pupils dilated; conjunctiva congested; pulse 95; patient talked, or rather muttered, with difficulty; could not tolerate strong light or loud noise; the mucous membrane of the mouth showed irregular dark patches of ecchymosed blood. The right foot was swollen, and in a line between ankle and knuckle of big toe showed two punctures—one deep and bleeding, and surrounded by ecchymosis; the other one below this, more superficial, the blood oozing thin and not coagulating. Received, at 10.45 p.m., j2th grain of strychnia? in left arm. At 11 p.m., the same dose; breathing the same, but no rattle; stupor rather deepen- ing; incoherency increasing. At 11.15, the same dose; breathing easier; stupor the same; pulse, 85; temp , 97*6 ; delirious at times, and moaning with inarticulate cries; could not hear when spoken to in loud voice. 11.30 p.m., the same dose; no change in condition. 11.45 p.m., the same dose; stupor now fading away; delirium