November 17, 1894

Was Death the Result of Cocain?

JAMA. 1894;XXIII(20):767. doi:10.1001/jama.1894.02421250029007

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Albion, Mich., Nov. 9, 1894.

To the Editor:  —Oct. 26, 1894, I had occasion to remove a nasal polypus from the left nostril of a lady patient aged 60 years. Less than a year previous I had thoroughly cocainized the anterior and posterior nares upon two occasions, and each time removed a large number of mucoid growths, varying in size from a pea to a walnut, which completely filled the cavities and rendered respiration through the nares impossible. Upon neither of these occasions did she exhibit any toxic symptoms or evidence of shock or prostration. She was a patient of rather a nervous, delicate organization, but without any established history of organic disease. Upon the day mentioned she came to my office, complaining she was again experiencing difficulty in breathing freely through her nose. Examination revealed the presence of a mucous polypus in the left anterior nasal passage. A 4

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