RT Journal
T1 BIsmuth poisoning
JF Journal of the American Medical Association
JO Journal of the American Medical Association
YR 1909
FD April 17
VO LII
IS 16
SP 1273
OP 1274
DO 10.1001/jama.1909.02540420053013
UL http://dx.doi.org/10.1001/jama.1909.02540420053013
AB To the Editor: 
    —With reference to the cases of bismuth poisoning reported by Drs. V. C. David and J. R. Kauffman in The Journal, March 27, I desire to report a personal experience which in the future may help to prevent a fatal termination, as happened in their Case 2.In 1904 I operated on a boy aged 10, for a suppurative appendicitis. A small sinus (drainage tract) which never healed was injected by me in March, 1908, with Beck's 33 per cent. bismuth paste. The entire two ounces entered the sinus which terminated in some perineal pocket. Five days later, the stomatitis and the constant pain at the site of injection caused me to reopen the wound and remove the paste, when the symptoms promptly ceased. Later, the sinus was again repeatedly injected with half-ounce doses with resulting healing at the sinus.In the report by Drs. David and