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Dr Mohd Kaleem Khan
Assistant Professor
Department Of Forensic Medicine
JNMCH AMU Aligarh
Abrus Precatorius Indian Liquorice/ Ratti
• All parts of plants are poisonous esp. seeds.
• Seeds are size of small pea, red in colour, egg shape,
having black spot on one end or may be white or yellow
• active principle:
– Abrin ( toxic protein that disables ribosomes, inhibits protein
synthesis, antigenic properties, hemolytic properties);
– Abrine- an amino acid; haemagglutinin,
– Abralin- a glycoside
• Abrus precatorius,
Known commonly as
– Jequirity, crab's eye,rosary pea, precatory pea or bean, john
crow bead, indian licorice, akar saga,
– Gidee gideeor jumbie bead in trinidad & tobago,
– Is a slender, perennial climber that twines around trees,
shrubs, and hedges.
– It is a legume with long, pinnate-leafleted leaves.
SEEDS
Red and black white
PLANT
Plant Necklace
MOA
• Inhibit RNA polymerase
• Binds to endoplasmic reticulum of gut mucosal cells
l/t diarrhoea.
• F.D. : 1 seed
• F.P. : 3- 5 days
USES
– The seeds of abrus precatorius are much valued in native jewelry for their
bright color.
– There have been cases of death by a finger-prick while boring the seeds for
beadwork.
– These seeds to weigh gold using a measure called a ratti, where 8 ratti = 1
masha; 12 masha = 1 tola (11.6 grams.
– In siddha medicine, the white variety is used to prepare oil that is claimed to be
an aphrodisiac .
– Ayurveda because it is said to promote/stimulate hair growth.
Sign and Symptom
• On ingestion:
• Abdominal pain, nausea, vomiting, bloody diarrhoea,
• Vertigo, tinnitus, and giddiness,
• Cold clammy skin, irregular pulse, laboured breathing,
convulsions,
• Haemolysis, oliguria and death d/t cardiac failure.
• Injected:
• Resembles viperine snake bite.
• Inflammation, oedema, oozing of fluid.
• Painful swelling and necrosis of muscles and regional lymph node
may occur.
TREATMENT
• Gastric lavage
• Suis should be excised
• Anti abrin
• A mixture of dilute hydrochloric acid and pepsin
• Symptomatic treatment
Medicolegal Aspect
– Accidental in children
– Suis made from opium, dhatura, onion and spirit
and used for animal poisoning
– Seeds act as abortificient
– Malingering: conjunctivitis
– Arrow poison
Ricinus communis (Castor, Arandi)
• Entire plant is poisonous esp. seeds except oil.
• Seeds are smooth, flat, oval, mottled, dark brown
marking, bright and polished and occur in large and
small form.
Active principle:
• Toxalbumin RICIN, a water soluble glycoprotein
Green Red
Small seed Large seed
MOA:
• Antigenic- causes agglutination, hemolysis and cell
destruction
• Blocks protein synthesis through inhibition of RNA
polymerase
• Ricin has special binding protein that gains access to
the endoplasmic reticulum of GIT causing diarrhoea
Sign and Symptom
• Dust of seeds causes:
• Watering of eyes, conjunctivitis
• Rhinitis, acute nasal inflammation
• Headache, pharyngitis, bronchitis
• Dermatitis
• Gastric upset
• Ingestion
• GIT: burning pain in throat, colicky abdominal pain, cramping,
nausea, thirst, vomiting and diarrhea.
• CNS: vertigo, drowsiness, delirium, convulsions coma
• Uremia, jaundice, feeble pulse, shock and dehydration
• F.D. : 10- 20 seeds
• F.P. : 3-5 days
• Treatment:
• Gastric lavage
• Emetics and demulscents
• symptomatic
PM Appearance:
• Mucosa congested, softened, inflamed, erosions, fragment of
seeds may be present
• Dilatation of heart, pleural Hg, edema of Liver, kidney spleen
and lung
MLI:
• Accidental in children
• Rarely homicidal( The Umbrella Murder Case)
• Bioterrorism
Croton tiglium (jamal gota)
• Croton tiglium, known as Purging Croton, is a plant species
in the Euphorbiaceae family.
• C. tiglium is also called Jamaal Gota in Hindi and Urdu.
• Seeds are dark brown, oval, similar to croton but not
mottled and lustureless.
• All parts of plant are poisonous but seeds contain
maximum conc. of Active principle.
Plant Seed
Uses
• C. tiglium is used in traditional Chinese medicine,
•
• C. tiglium is known as Japaala/or "Jayapala" in Sinhala and
used in Sinhala traditional medical system of Sri Lanka.
• Seeds have a powerful purge.
• Is a valuable remedy in diarrhoea, summer complaint, and
Skin affections, in Homeopathic remedies
Toxic effect
• Active principle:
– Crotin (toxalbumin)
– Crotoniside ( glycoside
Ingestion
– Burning pain in throat and stomach, salivation, colicky abdominal
pain, cramping, nausea, thirst, vomiting and bloody diarrhoea.
– Prostration circulatory and respiratory collapse
– Applied to skin
– Burning redness and vesication
• F.D. : 4 crushed seeds or 3 drops of oil
• F.P. : 6-3 days
• Treatment:
• GL
• Emetics and demulscents
• Morphine and atropine
• symptomatic
PM Appearance:
• Mucosa congested, softened, inflamed, erosions,
fragment of seeds may be present
• Dilatation of heart, pleural Hg, oedema of Liver,
kidney spleen and lung
• MLI:
• Accidental
• Rarely homicidal and suicidal
• Roots and oil as abortificient
• Arrow poison
Calotropis gigantea/ calotropis
procera
madar or akdo
• Dried root freed from the outer cortical is
called Madar
• Active principle: uscharin, calotoxin,
calactin, calotropin (cardiac glycoside) and
gigantin (contained in serum)
Uses:
• Flowers: digestive , carminative, tonic
• Leaves: purgatives, emetic
• Milky juice : vesicant, depilatory and t/t of
chronic skin condition
• Tincture of bark or root: dysentry
• Dried bark: expectorant, emetic and
purgative
Sign and symptoms
• External – irritant vasication, conjunctivitis
• Internal – gastrointestinal and cerebral
poison
Medico- legal importance
• Madar juice is commonly used as an
abortifacient,
• May be used for homicide , suicide or
infanticide
• Animal poison
• Artificial bruise
• Arrow poison
Plumbago rosea/ plumbago
zeylinca
lal chitra/ chitra
• Roots are most poisonous
• Active principle: plumbagin (glycoside) –
strong irritant and in small doses it
stimulates contractions of heart, intestine
and uterus and in large doses causes
respiratory failure.
Medico-legal importance
• Abortion
• Homicide
• paste of stem or leaves : for artificial
bruise
• Powdered leaves and roots: t/t of leprosy,
scabies and influenza
Semecarpus anacardium
marking nut/ bhilawan
• Fruit is black, heart shape, having rough
projection at base.
• Fleshy pericarp contains thick, oily, acrid
juice which turns black when mixed with
lime and exposed to air
• Active principle: bhilawanol, semicarpol
Sign and symptoms
• On skin: irritation and painful blister.
• lesion resembles bruise which may
ulcerate and slough
• F.D.: 5- 10 gm
• F.P. : 12- 24 hr
Medico-legal importance
• Accidental
• Artificial bruise
• Criminal abortion
• Malingering : conjunctivitis
• vitriolage
Difference
Artificial bruise
• Cause : chemical
• Situation: accessible
• Appearance : blister
formation
• Colour changes: absent
• Ecchymosis: absent
• Content: acrid serum
• Itching present
• Analysis chemical
present
True bruise
• Trauma
• Anywhere
• No blister
• Present
• Present
• Extravasated blood
• Absent
• Absent
• Negative
Ergot
• Dried fungus Claviceps purpurea which
grows on stale grains particularly rye ,
wheat, barley and maize
• Active principle: alkaloids- ergotoxin,
ergotamine and ergometrine
• MoA: vaso-constricting agent and
stimulates smooth ms contraction of
arterioles , intestine and uterus
Acute poisoning
• Nausea , vomiting and diarrhoea
• Respiratory distress
• Paraesthesias, ms cramps
• Dizziness, dilated pupil, bleeding from
nose, unconciousess
• F.D. : 1-2 gm
Chronic poisoning
• Convulsive type: twitching, tingling,
numbness and painful contraction of
voluntary muscles, headache, drowsiness,
giddiness, formification and convulsions
• Gangrenous type: resembles raynaud’s
disease (St. Anthony’s fire), numbness
tingling anaesthesia, may be dry gangrene
in fingers toes, ears, nose, hands
Treatment
• Symptomatic
• emesis
• Nitroprusside or nitroglycerine
• Prazocine, captopril, nifedipine and
cyproheptidine for limb ischaemia
• phenobarbital
MLI:
• Accidental poisoning
• Abortifacient

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Poisoninng by Vegetable irritant

  • 1. Dr Mohd Kaleem Khan Assistant Professor Department Of Forensic Medicine JNMCH AMU Aligarh
  • 2. Abrus Precatorius Indian Liquorice/ Ratti • All parts of plants are poisonous esp. seeds. • Seeds are size of small pea, red in colour, egg shape, having black spot on one end or may be white or yellow • active principle: – Abrin ( toxic protein that disables ribosomes, inhibits protein synthesis, antigenic properties, hemolytic properties); – Abrine- an amino acid; haemagglutinin, – Abralin- a glycoside
  • 3. • Abrus precatorius, Known commonly as – Jequirity, crab's eye,rosary pea, precatory pea or bean, john crow bead, indian licorice, akar saga, – Gidee gideeor jumbie bead in trinidad & tobago, – Is a slender, perennial climber that twines around trees, shrubs, and hedges. – It is a legume with long, pinnate-leafleted leaves.
  • 6. MOA • Inhibit RNA polymerase • Binds to endoplasmic reticulum of gut mucosal cells l/t diarrhoea. • F.D. : 1 seed • F.P. : 3- 5 days
  • 7. USES – The seeds of abrus precatorius are much valued in native jewelry for their bright color. – There have been cases of death by a finger-prick while boring the seeds for beadwork. – These seeds to weigh gold using a measure called a ratti, where 8 ratti = 1 masha; 12 masha = 1 tola (11.6 grams. – In siddha medicine, the white variety is used to prepare oil that is claimed to be an aphrodisiac . – Ayurveda because it is said to promote/stimulate hair growth.
  • 8. Sign and Symptom • On ingestion: • Abdominal pain, nausea, vomiting, bloody diarrhoea, • Vertigo, tinnitus, and giddiness, • Cold clammy skin, irregular pulse, laboured breathing, convulsions, • Haemolysis, oliguria and death d/t cardiac failure. • Injected: • Resembles viperine snake bite. • Inflammation, oedema, oozing of fluid. • Painful swelling and necrosis of muscles and regional lymph node may occur.
  • 9. TREATMENT • Gastric lavage • Suis should be excised • Anti abrin • A mixture of dilute hydrochloric acid and pepsin • Symptomatic treatment
  • 10. Medicolegal Aspect – Accidental in children – Suis made from opium, dhatura, onion and spirit and used for animal poisoning – Seeds act as abortificient – Malingering: conjunctivitis – Arrow poison
  • 11. Ricinus communis (Castor, Arandi) • Entire plant is poisonous esp. seeds except oil. • Seeds are smooth, flat, oval, mottled, dark brown marking, bright and polished and occur in large and small form. Active principle: • Toxalbumin RICIN, a water soluble glycoprotein
  • 14. MOA: • Antigenic- causes agglutination, hemolysis and cell destruction • Blocks protein synthesis through inhibition of RNA polymerase • Ricin has special binding protein that gains access to the endoplasmic reticulum of GIT causing diarrhoea
  • 15. Sign and Symptom • Dust of seeds causes: • Watering of eyes, conjunctivitis • Rhinitis, acute nasal inflammation • Headache, pharyngitis, bronchitis • Dermatitis • Gastric upset • Ingestion • GIT: burning pain in throat, colicky abdominal pain, cramping, nausea, thirst, vomiting and diarrhea. • CNS: vertigo, drowsiness, delirium, convulsions coma • Uremia, jaundice, feeble pulse, shock and dehydration
  • 16. • F.D. : 10- 20 seeds • F.P. : 3-5 days • Treatment: • Gastric lavage • Emetics and demulscents • symptomatic
  • 17. PM Appearance: • Mucosa congested, softened, inflamed, erosions, fragment of seeds may be present • Dilatation of heart, pleural Hg, edema of Liver, kidney spleen and lung MLI: • Accidental in children • Rarely homicidal( The Umbrella Murder Case) • Bioterrorism
  • 18.
  • 19. Croton tiglium (jamal gota) • Croton tiglium, known as Purging Croton, is a plant species in the Euphorbiaceae family. • C. tiglium is also called Jamaal Gota in Hindi and Urdu. • Seeds are dark brown, oval, similar to croton but not mottled and lustureless. • All parts of plant are poisonous but seeds contain maximum conc. of Active principle.
  • 21. Uses • C. tiglium is used in traditional Chinese medicine, • • C. tiglium is known as Japaala/or "Jayapala" in Sinhala and used in Sinhala traditional medical system of Sri Lanka. • Seeds have a powerful purge. • Is a valuable remedy in diarrhoea, summer complaint, and Skin affections, in Homeopathic remedies
  • 22.
  • 23. Toxic effect • Active principle: – Crotin (toxalbumin) – Crotoniside ( glycoside Ingestion – Burning pain in throat and stomach, salivation, colicky abdominal pain, cramping, nausea, thirst, vomiting and bloody diarrhoea. – Prostration circulatory and respiratory collapse – Applied to skin – Burning redness and vesication
  • 24. • F.D. : 4 crushed seeds or 3 drops of oil • F.P. : 6-3 days • Treatment: • GL • Emetics and demulscents • Morphine and atropine • symptomatic
  • 25. PM Appearance: • Mucosa congested, softened, inflamed, erosions, fragment of seeds may be present • Dilatation of heart, pleural Hg, oedema of Liver, kidney spleen and lung • MLI: • Accidental • Rarely homicidal and suicidal • Roots and oil as abortificient • Arrow poison
  • 26.
  • 27.
  • 28.
  • 29. Calotropis gigantea/ calotropis procera madar or akdo • Dried root freed from the outer cortical is called Madar • Active principle: uscharin, calotoxin, calactin, calotropin (cardiac glycoside) and gigantin (contained in serum)
  • 30. Uses: • Flowers: digestive , carminative, tonic • Leaves: purgatives, emetic • Milky juice : vesicant, depilatory and t/t of chronic skin condition • Tincture of bark or root: dysentry • Dried bark: expectorant, emetic and purgative
  • 31. Sign and symptoms • External – irritant vasication, conjunctivitis • Internal – gastrointestinal and cerebral poison
  • 32. Medico- legal importance • Madar juice is commonly used as an abortifacient, • May be used for homicide , suicide or infanticide • Animal poison • Artificial bruise • Arrow poison
  • 33.
  • 34.
  • 35.
  • 36. Plumbago rosea/ plumbago zeylinca lal chitra/ chitra • Roots are most poisonous • Active principle: plumbagin (glycoside) – strong irritant and in small doses it stimulates contractions of heart, intestine and uterus and in large doses causes respiratory failure.
  • 37. Medico-legal importance • Abortion • Homicide • paste of stem or leaves : for artificial bruise • Powdered leaves and roots: t/t of leprosy, scabies and influenza
  • 38.
  • 39. Semecarpus anacardium marking nut/ bhilawan • Fruit is black, heart shape, having rough projection at base. • Fleshy pericarp contains thick, oily, acrid juice which turns black when mixed with lime and exposed to air • Active principle: bhilawanol, semicarpol
  • 40. Sign and symptoms • On skin: irritation and painful blister. • lesion resembles bruise which may ulcerate and slough • F.D.: 5- 10 gm • F.P. : 12- 24 hr
  • 41. Medico-legal importance • Accidental • Artificial bruise • Criminal abortion • Malingering : conjunctivitis • vitriolage
  • 42. Difference Artificial bruise • Cause : chemical • Situation: accessible • Appearance : blister formation • Colour changes: absent • Ecchymosis: absent • Content: acrid serum • Itching present • Analysis chemical present True bruise • Trauma • Anywhere • No blister • Present • Present • Extravasated blood • Absent • Absent • Negative
  • 43.
  • 44. Ergot • Dried fungus Claviceps purpurea which grows on stale grains particularly rye , wheat, barley and maize • Active principle: alkaloids- ergotoxin, ergotamine and ergometrine • MoA: vaso-constricting agent and stimulates smooth ms contraction of arterioles , intestine and uterus
  • 45. Acute poisoning • Nausea , vomiting and diarrhoea • Respiratory distress • Paraesthesias, ms cramps • Dizziness, dilated pupil, bleeding from nose, unconciousess • F.D. : 1-2 gm
  • 46. Chronic poisoning • Convulsive type: twitching, tingling, numbness and painful contraction of voluntary muscles, headache, drowsiness, giddiness, formification and convulsions • Gangrenous type: resembles raynaud’s disease (St. Anthony’s fire), numbness tingling anaesthesia, may be dry gangrene in fingers toes, ears, nose, hands
  • 47. Treatment • Symptomatic • emesis • Nitroprusside or nitroglycerine • Prazocine, captopril, nifedipine and cyproheptidine for limb ischaemia • phenobarbital