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https://hdl.handle.net/11499/6503
Title: | Hydrogen sulfide toxicity in a thermal spring: A fatal outcome | Authors: | Daldal, H. Beder, B. Karaduman, Simay Sungurtekin, Hülya |
Keywords: | Acute toxicity Hydrogen sulfide Inhalation exposure hydrogen sulfide adult article autopsy blood analysis case report clinical feature fatality female human intoxication male spa treatment thermal spring chemistry Adult Fatal Outcome Female Hot Springs Humans Hydrogen Sulfide Male |
Publisher: | Informa Healthcare | Abstract: | Introduction.Hydrogen sulfide (H2S) is a toxic gas with the smells of "rotten egg"; its toxic effects are due to the blocking of cellular respiratory enzymes leading to cell anoxia and cell damage.Case presentation.We report two cases with acute H2S intoxication caused by inhalation of H2S evaporated from the water of a thermal spring. Two victims were found in a hotel room were they could take a thermal bath. A 26-year-old male was found unconscious; he was resuscitated, received supportive treatment and survived. A 25-year-old female was found dead. Autopsy showed diffuse edema and pulmonary congestion. Toxicological blood analysis of the female revealed the following concentrations: 0.68 mgL sulfide and 0.21 mmolL thiosulfate. The urine thiosulfate concentration was normal. Forensic investigation established that the thermal water was coming from the hotels own illegal well. The hotel was closed.Conclusion.This report highlights the danger of H2S toxicity not only for reservoir and sewer cleaners, but also for individuals bathing in thermal springs. © 2010 Informa UK, Ltd. | URI: | https://hdl.handle.net/11499/6503 https://doi.org/10.3109/15563650.2010.508044 |
ISSN: | 1556-3650 |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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