Anant Babu Marahatta
Tohoku University, Japan
HOW DO DOCTORS DIFFERENTIATE BETWEEN THE TWO?
Tohoku University, Japan
Oxalic acid is a constituent of many house hold products. It is found in many disinfectants, household bleach, metal cleaning liquids, antirust products and furniture polishes. Oxalic acid is a crystalline, colorless substance and is efflorescent. This means it tends to become powdery on account of loss of water of crystallization. It has got its name from the Greek word Oxalis, which means sorrel. It occurs in sorrel plant and because of this the French chemist Lavoiser in 1787 named it as Oxalic acid. It occurs in the leaves and young stalk of Rhubarb, Spinach and even Cabbage. Sorrel is succulent acid herb used in salads.
Accidental poisoning has been known to occur after a hearty meal of rhubarb or sorrel. Food rich in oxalate can also lead to kidney stones because kidney stones are generally made up of oxalates. Crystals of oxalic acid are similar in appearance to those of magnesium sulphate (Epsom salt) and zinc sulphate. Because of this similarity, cases of accidental poisoning have occurred. Magnesium sulphate in doses of 15g is used as a laxative (to facilitate the evacuation of Bowels) and is non toxic. Since oxalic acid, a dangerous poison is so similar looking to Epsom salt-a commonly used drug as laxative medicine-it is necessary to be able to differentiate between the two. If the doctor or nurse fails to differentiate between the two, accidental poisonings may occur. Two patients at the mental hospital in Scotland had died in 1956 after receiving doses of oxalic acid which was mistaken for Epsom salts. Similarly zinc sulphate is also commonly used drug and looks very similar to the dangerous poison, oxalic acid. Thus in order to remain in the safe side, it is very much essential to be able to differentiate between them.
HOW DO DOCTORS DIFFERENTIATE BETWEEN THE TWO?