Treatise on Poisons by Sir Robert Christison

12. The _gullet_ may be perforated in a similar manner either with or

without symptoms. Under the head of the morbid appearances (119) two instances will be mentioned in which there were no corresponding symptoms. In the following case symptoms did pre-exist. A man, six weeks after being bit by a dog, which was killed without its state of health having been ascertained, was attacked with a sense of strangling, impossibility of swallowing, delirium, excessive irritability, glairy vomiting; and he died within twenty-four hours. The gullet, a little above the diaphragm, was perforated by a hole two-thirds of an inch in diameter, with thin edges; and effusion had taken place into the posterior mediastinum.[188]