Case Report: Five Indian labourers sharing one room were found lying o
n the floor unconscious. A coal fire had been lit to provide heat duri
ng the cold night and was still burning inside the room. Two of the me
n were pronounced dead at the scene. The other three were transferred
to the hospital in critical condition. This paper contains the case re
ports 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 sever
e 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 hemolysi
s in the third patient was less severe and did not require blood trans
fusion. 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 mic
roscopic examination of specimens taken at autopsy showed extensive ne
crosis of all skeletal muscles, myocardial necrosis and acute tubular
necrosis affecting both kidneys.