%0 Journal Article %T Hydrogen sulfide exposure in an adult male %A Doujaiji Bassam %A Al-Tawfiq Jaffar %J Annals of Saudi Medicine %D 2010 %I King Faisal Specialist Hospital and Research Centre %X Hydrogen sulfide (H 2 S) is responsible for many incidents of occupational toxic exposure, especially in the petroleum industry. The clinical effects of H 2 S depend on its concentration and the duration of exposure. H 2 S is immediately fatal when concentrations are over 500-1000 parts per million (ppm) but exposure to lower concentrations, such as 10-500 ppm, can cause various respiratory symptoms that range from rhinitis to acute respiratory failure. H 2 S may also affect multiple organs, causing temporary or permanent derangements in the nervous, cardiovascular, renal, hepatic, and hematological systems. We present a case of occupational exposure to H 2 S leading to multi-organ involvement, acute respiratory failure, organizing pneumonia, and shock resembling acute sepsis. The patient also developed mild obstructive and restrictive pulmonary disease and peripheral neuropathy. %U http://www.saudiannals.net/article.asp?issn=0256-4947;year=2010;volume=30;issue=1;spage=76;epage=80;aulast=Doujaiji