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Article
January 13, 1923

COMPLETE ANURIA FOLLOWING A MERCURIC CHLORID DOUCHE; RECOVERY AFTER BILATERAL RENAL DECAPSULATION

Author Affiliations

Philadelphia

JAMA. 1923;80(2):102-103. doi:10.1001/jama.1923.26430290002010c

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Abstract

This case is of interest because of the sudden, intense and protracted symptoms of a profound toxemia, involving the renal, gastro-intestinal and hematopoietic systems, occurring subsequent to a vaginal douche of a small amount of moderately strong mercuric chlorid solution, taken for the purpose of inducing a miscarriage, and because of the ultimate recovery of the patient after numerous threatening complications and an unusually high nitrogen retention figure.

Mrs. V. F., aged 38, a tertipara, being two days overdue, on the afternoon of May 27, 1922, dissolved two mercuric chlorid tablets in a glass of water and used this as a vaginal douche. (Assuming a glass to equal approximately one-half pint, this would make about a 1:250 solution.) Almost immediately she began to have severe burning in the vaginal region, and abdominal cramps, with a chill lasting half an hour, followed by vomiting and diarrhea. She said that she walked

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