Sewer gas poisoning causing transient and focal ST-segment elevation in the ECG: Case report

Lalit Kumar; Govind Mawari; Naresh Kumar; Sayan Sarkar; Mradul Kumar Daga

doi:10.4103/jfmpc.jfmpc_552_22

Sewer gas poisoning causing transient and focal ST-segment elevation in the ECG: Case report

J Family Med Prim Care. 2022 Oct;11(10):6533-6536. doi: 10.4103/jfmpc.jfmpc_552_22. Epub 2022 Oct 31.

Authors

Lalit Kumar¹, Govind Mawari¹, Naresh Kumar¹, Sayan Sarkar¹, Mradul Kumar Daga²

Affiliations

¹ Department Center for Occupational and Environment Health, Maulana Azad Medical College, New Delhi, India.
² Department Internal Medicine and Infectious Disease, Institute of Liver and Biliary Sciences, New Delhi, India.

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.

Keywords: ECG; TROP -T; hydrogen sulphide; sewer gas toxicity.

Publication types

Case Reports