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Article
March 23, 1912

CASE OF ACUTE MERCURIAL POISONING FOLLOWED BY GENERAL NECROSIS OF MAXILLARY BONES AND PURULENT OTITIS MEDIA

Author Affiliations

SAN FRANCISCO

JAMA. 1912;LVIII(12):854. doi:10.1001/jama.1912.04260030252012

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Abstract

On Dec. 3, 1910, Mrs. E., aged 28, drank a solution containing six 7½-grain tablets of mercuric chlorid. She vomited freely within five minutes; her stomach was washed at the end of thirty minutes, and in the interim she drank the whites of half a dozen eggs and two glasses of sweet oil. At the end of an hour she became unconscious and was removed to the hospital. Urine, drawn by catheter for the first time at the end of sixty-two hours, was bloody, four ounces in all. Patient was unable to take nourishment except by rectum, as everything taken by mouth was immediately expelled by vomiting.

A diffuse papular rash appeared over the entire surface of the body at the end of twenty-four hours; the left heart was dilated and sounds were weak; pulse, 120, weak, thready and of low tension; liver enlarged to about three fingers' breadth beneath

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