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Case Series
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| Carbon monoxide poisoning: Same time, same place but different outcomes | ||||||
| Phee-Kheng Cheah1, Fatin Salwani Zaharuddin2, Nik Hisamuddin Rahman3, Muhamad Yaakub Arifin1, Mohd Hakimi Abdullah4 | ||||||
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1Emergency and Trauma Department, Sabah Women and Children's Hospital, Kota Kinabalu, Sabah, Malaysia.
2Emergency and Trauma Department, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, Malaysia. 3Emergency Department, Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia. 4Department of Underwater Medicine, Kota Kinabalu Regional Military Hospital, Kota Kinabalu Naval Base, Kota Kinabalu, Sabah, Malaysia. | ||||||
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| How to cite this article |
| Phee-Kheng C, Zaharuddin FS, Rahman NH, Arifin MY, Abdullah MH. Carbon monoxide poisoning: Same time, same place but different outcomes. Int J Case Rep Images 2015;6(9):542–545. |
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Abstract
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Introduction:
There have been numerous reports documenting the differences in outcomes after carbon monoxide poisoning between men and women. There are also several reports mentioning the differences in presentation and outcome of poisoning in adults and children.
Case Series: We report two construction workers who had carbon monoxide poisoning while watching television. They used a petrol generator to power their television during a power outage, and the generator was placed in the same confined room. All windows were closed due to heavy rain and strong winds outside. Both patients were found motionless the next morning in front of the television. The two patients aged 16 and 22 years old presented to emergency department with almost similar complaints but had a very differing hospital course. The 16-year-old had status epilepticus needing intubation and ICU admission while the other was well throughout his stay. Both patients underwent two courses of hyperbaric oxygen therapy using the Royal Malaysian Navy treatment table 18-60-30. The 16- year-old was placed in the multi-place hyperbaric chamber while still intubated. Both patients were discharged without any neurological deficits. Conclusion: The clinical course of patients with carbon monoxide poisoning may differ due to factors other than gas concentration and duration of exposure. | |
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Keywords:
Carbon Monoxide Poisoning, Hyperbaric Oxygen Therapy, Status Epilepticus
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Author Contributions:
Phee-Kheng Cheah – Conception and design, Drafting the article, critical revision of the article, Final approval of the version to be published Fatin Salwani Zaharuddin – Acquisition of data, Drafting the article, Final approval of the version to be published Nik Hisamuddin Rahman – Conception and design, Critical revision of the article, Final approval of the version to be published Muhamad Yaakub Arifin – Acquisition of data, Drafting the article, Final approval of the version to be published Mohd Hakimi Abdullah – Acquisition of data, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Phee-Kheng Cheah et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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