Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website http://www.journalmc.org

Case Report

Volume 3, Number 1, February 2012, pages 25-30


Reversal of Heart and Respiratory Failure Following Accidental Exposure to Hydrogen Sulfide: Case Report

Figures

Figure 1.
Figure 1. Chest-X ray serial imaging. (A) On admission, showing a predominant right sided heterogeneous lung infiltrate; (B) on the 7th in-hospital day revealing an aggravating lung injury; (C) On 3 months reassessment, documenting regression of the lung lesions.
Figure 2.
Figure 2. Lung CT scan serial images revealing a diffuse ground glass pattern with peribronchovascular bilateral infiltrate on admission (A) and significant reversal of lung lesions on follow-up at 3 months (B).

Tables

Table 1. Arterial Blood Analysis Result Without Oxygen Supplementation
 
ParameterValueNormal range
pH7.457.35 - 7.45
pCO2 (mm Hg)2835 - 45
pO2 (mm Hg)5780 - 100
SO2 (%)91> 95
HCO3 (mmol/L)19.522 - 26
Lactates (mmol/L)3.70.5 - 2

 

Table 2. Venous Blood Sample Results
 
ParameterValueNormal range
INR: International normalized ratio; s: seconds; CRP: C-reactive protein
Haemoglobin (g/dL)17.613 - 18
Platelets (x 103 /µL)422130 - 450
Leukocytes (x 103 /µL)46.24-10
Neutrophils (x 103 /µL)432.8 - 7.5
Prothrombin time (s)16.38 - 14
INR1.540.8 - 1.2
Creatinine Kinase (U/L)228138 - 190
CK-MMB (ng/mL)176.97 - 25
Troponin I (ng/mL)24.58< 0.1
Myoglobin (ng/mL)313128 - 72
Creatinine (mg/dL)1.607 - 1.2
Urea (mg/dL)12017 - 50
TGO (U/L)213< 38
Na+ (mEq/L)139135 - 145
K+ (mEq/L)43.5 - 5
Cl- (mEq/L)10198 - 107
CRP (mg/dL)17.66< 0.3