He suffered multiple fractures of the left humerus, the right iliopsoas branch, and a double fracture of the right tibia and fibula of both the upper and lower extremities.
After the accident, he remained immobilized and refused surgery and most of the proposed treatment.
He was an alcoholic, suffered from mental disorders, and died four months after the accident.
Diagnosis: Septis as a complication of multiple trauma and multiple organ failure.
Hydrogen sulfide poisoning is found rarely. It’s often encountered in industrial accidents and in the sewage works. Deaths due to HS poisoning occur as a result of inhalation. When the level of the HS in ambient air is higher than 500 ppm, death occurs within minutes.
We present a case of 23-year-old man who was found dead at home with putrefaction findings. In our case, metabolites of hemoglobin were found in the first toxicological analysis. It is thought that these metabolites may occur due to putrefaction, so a certain comment has not been made about the cause of death. Detection of sulfur in the bottles at the scene and written notes was hung outside the door of the house which includes “Attention!, HS is very toxic, take notes, get out, close the door” suggested that death outcomes from HS poisoning.
In cases which suspected poisoning and signs of putrefaction has begun, detailed crime scene investigation often be ahead of postmortem examination and toxicological analysis while determining the cause of death.