RESUMO
A case of hydrogen sulfide intoxication in a farmer is described. He collapsed in a mobile tank, recently used for spreading manure and was comatose on arrival at the hospital. He survived, but still suffers from a toxic/anoxic psychosyndrome. On site measurements showed high concentrations of hydrogen sulfide. The treatment is controversial and is discussed.
Assuntos
Doenças dos Trabalhadores Agrícolas/induzido quimicamente , Poluentes Ocupacionais do Ar/intoxicação , Sulfeto de Hidrogênio/intoxicação , Psicoses Induzidas por Substâncias/etiologia , Humanos , Masculino , Esterco , Pessoa de Meia-IdadeRESUMO
A 59-year-old woman with renal failure was admitted in a coma with seizures. Computerized tomography (CT) revealed a frontal mass in the right cerebral hemisphere and on day 12 new low density areas had appeared in both the right and left hemisphere. Blood cultures on day 13 grew Salmonella typhimurium, and the patient died the next day. An autopsy showed cerebral infarction with abscess formation. The elusive features of non-typhoid Salmonella infections make it advisable to obtain blood and faecal cultures from susceptible patients with fever or focal disorders of unknown aetiology.
