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January 30, 1904


JAMA. 1904;XLII(5):310-311. doi:10.1001/jama.1904.92490500030002a

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History.  —May 31, 1903, I received a hurried call to visit a man in the country who had been poisoned by strychnin. I found the patient wrapped in comforters, and propped up in an easy chair. He appeared to be well nourished, was 30 years old, and had never been sick a day in his life. He was very nervous and greatly prostrated. His heart was beating at about 88 per minute and very irregularly, and had a decided tremor. His tongue was coated and trembling, and somewhat moist; his eyes were suffused and the conjunctivas injected; the muscles about the mouth were retracted, showing his teeth and giving to his face the "risus sardonicus."

Etiology.  —I was given the following history: Two days previously he was preparing a mixture to poison rats. It consisted of some corn, mixed with strychnin powder, over which he poured hot

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