Please use this identifier to cite or link to this item: 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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