FISH POISONING. There
cholera
so
difficulty
are
closely
that it is
to differentiate
when cholera
poisoning
several conditions which simulate
is
are now
a
matter of
them, especially
no
small
in times
epidemic. Cases of irritant and again detected in which
fatal doses of arsenic and other substances have
THE INDIAN MEDICAL GAZETTE.
48
been
given
cloak of doubt
with homicidal
intent, prevalence, and
cholera
happened that
under the it
has
such circumstances
in
murder has been committed and remained
detected.
These
There
study. and
anon occur
under the
ing, which
subjected to
definition of like
are so
ever come
cholera,
1888.
diarrhoea, but in three cases the diarrhoea stopped of itself, and in two cases medical treatThe next morning a broment did them good. ther of the deceased, aged eight years, had also vomiting and purging, but they were controlled
men
and
by treatment." There
was 110
tration of arsenic
ptomaine poison- symptoms
of Asiatic
cases
of
careful skilled
other cases, which are accidentally and which
general
un-
however, capable
cases are,
easy distinction when
110
[Feb.,
those
of
reason to or
the adminis-
suspect
copper in
this
case.
The
in this instance, though simulating cholera, presented many important
scrutiny placed at differences, and no well educated physician obthe case from beginning to end could fault, especially when cholera is preseutin the lo- serving In other cases of ptomaine poisonit. cality where they occur. It is important to study mistake such cases, and place them 011 record. Ptomaine in"" that we have seen or heard of. the resemhas been much closer. Whether it is alpoisoning, whether by fish, shell-fish, or tainted blance meat present such a very close resemblance to ways possible to discriminate the two conditions is cholera that it is difficult to resist the suspi- a matter of doubt, which nothing but careful Putrid fish is cions that cholera is itself due to some descrip- observation of cases can solve. in 110 doubt cases of and common of of The Transactions enough the Grant tion India, ptomaine. College Medical Society for the past year contain fish poisoning occur frequently. Thorough boilthe notes of a carefully observed case of fish poi- ing, even of putrid material, would probably soning by Dr. A. Mody. The subject was a prevent serious effects. It is necessary to add bhiug" is in its fresh or well preserved male child of four years. The symptoms were that the state a wholesome fish and largely consumed more those of very acute enteritis than of cholera. There was no vomiting, but motion of a clear 011 the Bombay side of India. whitish watery kind containing flakes of were frequently passed involungreen lymph" was no There cyanosis, facies hippocratarily. that the keenest and
is
acutest
*
D
cholera
so
difficulty
are
closely
that it is
to differentiate
when cholera
poisoning
several conditions which simulate
is
are now
a
matter of
them, especially
no
small
in times
epidemic. Cases of irritant and again detected in which
fatal doses of arsenic and other substances have
THE INDIAN MEDICAL GAZETTE.
48
been
given
cloak of doubt
with homicidal
intent, prevalence, and
cholera
happened that
under the it
has
such circumstances
in
murder has been committed and remained
detected.
These
There
study. and
anon occur
under the
ing, which
subjected to
definition of like
are so
ever come
cholera,
1888.
diarrhoea, but in three cases the diarrhoea stopped of itself, and in two cases medical treatThe next morning a broment did them good. ther of the deceased, aged eight years, had also vomiting and purging, but they were controlled
men
and
by treatment." There
was 110
tration of arsenic
ptomaine poison- symptoms
of Asiatic
cases
of
careful skilled
other cases, which are accidentally and which
general
un-
however, capable
cases are,
easy distinction when
110
[Feb.,
those
of
reason to or
the adminis-
suspect
copper in
this
case.
The
in this instance, though simulating cholera, presented many important
scrutiny placed at differences, and no well educated physician obthe case from beginning to end could fault, especially when cholera is preseutin the lo- serving In other cases of ptomaine poisonit. cality where they occur. It is important to study mistake such cases, and place them 011 record. Ptomaine in"" that we have seen or heard of. the resemhas been much closer. Whether it is alpoisoning, whether by fish, shell-fish, or tainted blance meat present such a very close resemblance to ways possible to discriminate the two conditions is cholera that it is difficult to resist the suspi- a matter of doubt, which nothing but careful Putrid fish is cions that cholera is itself due to some descrip- observation of cases can solve. in 110 doubt cases of and common of of The Transactions enough the Grant tion India, ptomaine. College Medical Society for the past year contain fish poisoning occur frequently. Thorough boilthe notes of a carefully observed case of fish poi- ing, even of putrid material, would probably soning by Dr. A. Mody. The subject was a prevent serious effects. It is necessary to add bhiug" is in its fresh or well preserved male child of four years. The symptoms were that the state a wholesome fish and largely consumed more those of very acute enteritis than of cholera. There was no vomiting, but motion of a clear 011 the Bombay side of India. whitish watery kind containing flakes of were frequently passed involungreen lymph" was no There cyanosis, facies hippocratarily. that the keenest and
is
acutest
*
D
