J Korean Soc Clin Toxicol.  2009 Jun;7(1):26-31.

Two Cases of Comatose Patients Presenting after Exposure to Hydrogen Sulfide Gas

Affiliations
  • 1Department of Emergency Medicine, Chonnam National University, School of Medicine, Gwangju, Republic of Korea. oriryu@hanmail.net

Abstract

Hydrogen sulfide is a by-product of decayed organic material and is ubiquitously found as an ingredient of manufacturing reagents or as an undesirable by-product of the manufacturing or industrial processing. Hydrogen sulfide is a chemical asphyxiant and interferes with cytochrome oxidase and aerobic metabolism. It has thus been deemed an important cause of work-related sudden death. This gas is particularly insidious due to the unpredictability of its presence and concentration and its neurotoxicity at relatively low concentrations, causing olfactory nerve paralysis and loss of the warning odor. Here, we report two cases of comatose patients presenting after accidental exposure to hydrogen sulfide gas.

Keyword

Hydrogen sulfide; Cytochrome oxidase; Occupation; Prognosis; Coma

MeSH Terms

Coma
Death, Sudden
Electron Transport Complex IV
Humans
Hydrogen
Hydrogen Sulfide
Indicators and Reagents
Occupations
Odors
Olfactory Nerve
Paralysis
Prognosis
Electron Transport Complex IV
Hydrogen
Hydrogen Sulfide
Indicators and Reagents
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