Sewer gas poisoning causing transient and focal ST-segment elevation in the ECG: Case report.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 36618240.
- Also identified by DOI 10.4103/jfmpc.jfmpc_552_22 and PMC identifier 9810969.
- Licence recorded as CC BY-NC-SA.
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Abstract
In India, a large number of sanitary care workers are involved in manual scavenging. This exposes them to sewer gas mainly consisting of hydrogen sulphide. Sewer gas toxicity primarily causes neurological injury, followed by cardiac and respiratory involvement. A few cases of diffuse ST-segment elevation in the electrocardiogram (ECG) following hydrogen sulphide poisoning are known in the literature. Here, we report a case of acute sewer gas poisoning in a 45-year-old man with transient and focal ST-segment elevation in the anteroseptal leads of the ECG mimicking acute anterior wall myocardial infarction.