Abstract
An adult male was found dead beneath a pool of sewage in the pump room of a fish market. Autopsy revealed the cause of death to be suffocation after aspirating sewage into the respiratory tract. Since hydrogen sulfide gas was detected in the atmosphere at the scene of the accident, gas poisoning was suspected and toxicological analysis of sulfides in body tissues was performed. The concentrations of sulfides in the blood, lung and kidney were 0.95 μmol/ml, 0.22 and 0.38 μmol/g, respectively. These values were remarkably higher than those in previously reported cases involving exposure to hydrogen sulfide gas. Therefore, oral intake of sulfides was assumed and the distribution of sulfides in tissues following oral administration of sodium sulfide solution was examined by means of animal experiments using rats. The concentration of sulfides in the blood from rats following oral intake was much higher than that seen following gas exposure. Based on these results, we concluded that the victim had been exposed to hydrogen sulfide gas and had then collapse into a pool of sewage containing sulfides. The sulfides which were distributed throughout the body tissues had mainly issued from the alimentary tract prior to death by drowning.
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References
Smilkstein MJ, Bronstein AC, Pickett HM, Rumack BH (1985) Hyperbaric oxygen therapy for severe hydrogen sulfide poisoning. J Emerg Med 3(1):27–30
Deng JF, Chang SC (1987) Hydrogen sulfide poisonings in hot-spring reservoir cleaning: two case reports. Am J Ind Med 11(4):447–451
Kilburn KH (1993) Case report: profound neurobehavioral deficits in an oil field worker overcome by hydrogen sulfide. Am J Med Sci 306(5):301–305
Winek CL, Collom WD, Wecht CH (1968) Death from hydrogen sulphide fumes. Lancet 1:1096
McAnalley BH, Lowry WT, Oliver RD, Garriott JC (1979) Determination of inorganic sulfide and cyanide in blood using specific ion electrodes: application to the investigation of hydrogen sulfide and cyanide poisoning. J Anal Toxicol 3:111–114
Osbern LN, Crapo RO (1981) Dung lung: a report of toxic exposure to liquid manure. Ann Intern Med 95:312–314
Ikebuchi J, Yamamoto Y, Nishi K, Okada K, Irizawa Y (1993) Toxicological findings in a death involving hydrogen sulfide (Japanese with English abstract). Jpn J Legal Med 47 (5):406–409
Kimura K, Hasegawa M, Matsubara K, Maseda C, Kagawa M, Takahashi S, Tanabe K (1994) A fatal disaster case based on exposure to hydrogen sulfide — an estimation of the hydrogen sulfide concentration at the scene. Forensic Sci Int 66 (2):111–116
Sörbo B (1960) On the mechanism of sulfide oxidation in biological systems. Biochim Biophys Acta 38:349–351
Bartholomew TC, Powell GM, Dodgson KS, Curtis CG (1980) Oxidation of sodium sulfide by rat liver, lungs and kidney. Biochem Pharmacol 29:2431–2437
Kage S, Nagata T, Kimura K, Kudo K (1988) Extractive alkylation and gas chromatographic analysis of sulfide. J Forensic Sci 33(1):217–222
Nagata T, Kage S, Kimura K, Kudo K, Noda M (1990) Sulfide concentrations in postmortem mammalian tissues. J Forensic Sci 35(3):706–712
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Imamura, T., Kage, S., Kudo, K. et al. A case of drowning linked to ingested sulfides — a report with animal experiments. Int J Leg Med 109, 42–44 (1996). https://doi.org/10.1007/BF01369601
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DOI: https://doi.org/10.1007/BF01369601