Skip to main content
Hydrogen sulfide gas poisoning in fish garbage room: A report of a fisherman
Journal of Pakistan Medical Association
  • Sadaf Sheikh, Aga Khan University
  • Muhammad Akbar Baig, Aga Khan University
  • Noman Ali, Aga Khan University
  • NadeemUllah Khan, Aga Khan University
Publication Date
Document Type

We report the case of a fisherman who was exposed to high concentrations of hydrogen sulfide (H2S) gas from the fish garbage room. The patient survived and was discharged with full recovery from the hospital. H2S is a colourless, foul smelling and highly toxic gas next to carbon monoxide, which causes inhalation death. It is a by-product of various industrial processes particularly involves exposure from agriculture, petrochemical industry and organic matter decomposition from sewage processing. It is a by-product of H2S has been referred as the "knock down gas" because inhalation of high concentrations can cause immediate loss of consciousness and death. Although early use of amyl nitrate and hyperbaric oxygen shows some benefit in literature, supportive care remains the mainstay of treatment. Emergency physicians and pre-hospital care personnel are not very familiar with such exposure due to its rarity. This becomes more relevant in the developing world settings where there are rising concerns about the unsafe exposure to hazardous chemicals and its impact on human health. Emergency physicians working in Pakistan should be aware of this entity especially in regard to fishermen presenting to the Emergency Department with such a clinical presentation and its toxic manifestations. This incident also illustrates the need of enforcement of health and safety regulations in the fishing industry.

Creative Commons License
Creative Commons Attribution 4.0
Citation Information
Sadaf Sheikh, Muhammad Akbar Baig, Noman Ali and NadeemUllah Khan. "Hydrogen sulfide gas poisoning in fish garbage room: A report of a fisherman" Journal of Pakistan Medical Association Vol. 67 Iss. 7 (2017) p. 1097 - 1099
Available at: