Occupational inhalation injury by Hydrogen Sulfide causing multi organ failure –A case study

  • Karishma Shamarukh Senior House Officer, General ICU United Hospital Ltd.
  • - Mohammad Omar Faruq ChiefConsultant, General ICU & Emergency, United Hospital Ltd
  • Nasrin Jahan Senior House Officer, General ICU United Hospital Ltd
  • Amina Sultana Junior Consultant, General ICU, United Hospital Ltd
  • Ridwan Naim Faruq Former Lecturer, Ibrahim Medical College.
Keywords: Effluent treatment plant, Hydrogen Sulphide, Chemical Pneumonitis, Toxic Cardiomyopathy, Toxic encephalopathy

Abstract

Hydrogen sulfide is a notorious agent known to cause serious injuries in the occupational field. We are going to discussa case of a 20 years old male working in a effluent treatment plant in Savar, Bangladesh who accidentally entered thefume room and was exposed to the toxic gas. He lost consciousness and was brought to our care from a local hospitalafter endotracheal intubation condition. He was found in state of unconsciousness grade III on admission to our ICU.His brain CT scan revealed diffuse cerebral edema. Chest X-ray revealed finding suggestive of diffuse pneumonitis.Cardiology evaluation suggested Toxic cardiomyopathy as his high sensitive Troponin I was very high on admission (2037ng/L). Supportive care was given in the form of mechanical ventilation, antibiotics, anticonvulsant andanti-ischemic medications. Patient regained consciousness on day 10 after admission and gradually improvedclinically. By the end of the month of stay in hospital he was significantly improved.

Bangladesh Crit Care J September 2019; 7(2): 113-115

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Abstract
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PDF
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Published
2019-10-08
How to Cite
Shamarukh, K., Faruq, -, Jahan, N., Sultana, A., & Faruq, R. N. (2019). Occupational inhalation injury by Hydrogen Sulfide causing multi organ failure –A case study. Bangladesh Critical Care Journal, 7(2), 113-115. https://doi.org/10.3329/bccj.v7i2.43465
Section
Case Reports