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Acute renal failure, compartment syndrome, and systemic capillary leak syndrome complicating carbon monoxide poisoning.
[systemic capillary leak syndrome]
Five
Indian
labourers
sharing
one
room
were
found
lying
on
the
floor
unconscious
.
A
coal
fire
had
been
lit
to
provide
heat
during
the
cold
night
and
was
still
burning
inside
the
room
.
Two
of
the
men
were
pronounced
dead
at
the
scene
.
The
other
three
were
transferred
to
the
hospital
in
critical
condition
.
This
paper
contains
the
case
reports
of
the
three
patients
who
were
transferred
to
the
hospital
.
One
of
the
patients
died
60
h
after
admission
.
The
other
two
patients
were
successfully
treated
and
released
.
The
three
patients
developed
severe
rhabdomyolysis
complicated
by
compartment
syndrome
.
The
patient
who
died
developed
compartment
syndrome
in
three
extremities
.
Two
patients
required
blood
transfusion
due
to
very
severe
hemolysis
.
The
hemolysis
in
the
third
patient
was
less
severe
and
did
not
require
blood
transfusion
.
Two
patients
developed
anuric
acute
renal
failure
due
to
acute
tubular
necrosis
as
shown
by
renal
biopsy
.
Two
patients
developed
the
full
blown
picture
of
systemic
capillary
leak
syndrome
.
Gross
and
microscopic
examination
of
specimens
taken
at
autopsy
showed
extensive
necrosis
of
all
skeletal
muscles
,
myocardial
necrosis
and
acute
tubular
necrosis
affecting
both
kidneys
.