Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Dermatological Manifestations in Fatal Lightning Strike - A Case Report


Affiliations
1 Department of Forensic Medicine and Toxicology, Shimoga Institute of Medical Sciences, Shimoga, India
2 Department of Forensic Medicine and Toxicology, Karnataka Institute of Medical Sciences, Hubli, Karnataka - 580022, India
3 Department of Pathology, Shimoga Institute of Medical Sciences , Shimoga, RGUHS, Karnataka, India
4 Department of Forensic Medicine and Toxicology, Vydehi Institute of Medical Science, Bangalore, RGUHS, Karnataka, India
5 Department of Forensic Medicine and Toxicology, Shimoga Institute of Medical Sciences, Shimoga, RGUHS, Karnataka, India
     

   Subscribe/Renew Journal


Instances of lightning strike in humans are less common. Though survival is the more usual outcome in such natural calamities, death could be caused due to cardiopulmonary arrest, damage to brain, burns or rarely from disruption of body due to blast effect. We report a case of fatal lightning strike in an adult male with dermatological manifestations of superficial burns, burns from heated necklace along with entry and exit wounds. Inspite of today's technology improving in leaps and bounds, natural calamity cannot be prevented from occurring, never-the-less, precautionary measures in the form of erecting more number of lightning leaders and application of 30-30 rule may be employed.

Keywords

Strike, Entry and Exit wounds, Heated necklace burn, 30-30 Rule
Subscription Login to verify subscription
User
Notifications
Font Size


  • Fontanarossa PB. Electrical shock and lightning strike. Ann Emerg Med 1993; 22: 378-387.
  • Lichtenberg R, Dries D, Ward K, Marshall W, Scanlon P. Cardiovascular effects of lightning strikes. J Am Coll Cardiol 1993; 21: 531-536.
  • Zack F, Hammer U, Klett I, Wegener R. Myocardial injury due to lightning. Int J Legal Med 1997; 110: 326-328.
  • Cooper MA, Andrews CJ, Holle RL. Lightning injury. In: Auerbach. Wilderness Emergencies. 5th ed. CV Mosby; 2006. 67-108.
  • Knight B. Electrical fatalities. In: Saukko P, Knight B. Knight’s Forensic Pathology. 3rd ed. London: Edward Arnold, 2004: 336-337.
  • Dikshit PC; Thermal injuries. In: PC Dikshit Text book of Forensic Medicine and Toxicology; 1st ed. New Delhi; PEEPEE; 2007: 253.
  • Vij K. Death by Electrocution. In: Text Book of Forensic Medicine and Toxicology Principles and Practice. 4th Ed. New Delhi: Elsevier, 2008: 238- 240.
  • Bier M, Chen W, Bodnar E, Lee RC. Biophysical injury mechanisms associated with lightning injury. NeuroRehabilitation 2005; 20 (1): 53-62.
  • Cooper MA. A fifth mechanism of lightning injury. Acad Emerg Med 2002; 9(2): 172-174.
  • Cooper MA. Emergent care of lightning and electrical injuries. Semin Neurol 1995; 15(3): 268-278.
  • Kumar V; Filigree burns of lightning: two case reports; Med Sci Law 2007; 47(2); 171-173.
  • Murty OP; Dramatic lightning injury with exit wound; J Forensic Leg Med 2007; 14(4): 225-227.
  • Asuquo ME, Ikpeme IA, Abang I; Cutaneous manifestations of lightning injury: a case report; Eplasty 2008; 8: e46.
  • Wankhede AG, Agrawal VR, Sariya DR; An injury subjacent to lac ornament in a case of lightning; Forensic Sci Int 2010; 195: 1-3.
  • Cooper PN; Injuries caused by heat and electricity; In J. Payne James Text book of Forensic Medicine: Clinical and Pathological Aspects; 1st ed. Cambridge University press; 2003: 195-196.
  • Moollaor P, Annoppetch C; Lightning injury: a case report; J Med Assoc Thai 1993; 76(7): 410-4.
  • Herrero F, García-Morato V, Salinas V, Alonso S; An unusual case of lightning injury: a melted silver necklace causing a full thickness linear burn; Burns 1995; 21(4): 308-309.
  • Eriksson A, Ornehult L; Death by lightning; Am J Forensic Med Pathol 1988; 9(4):295-300.
  • Cooper MA. Lightning injuries: prognostic signs for death. Ann Emerg Med 1980: 9(3): 134-138.
  • Selvaggi G, Monstrey S, Van LK, Hamdi M, Blondeel P; Rehabilitation of burn injured patients following lightning and electrical trauma;. NeuroRehabilitation 2005; 20 (1):35-42.

Abstract Views: 429

PDF Views: 14




  • Dermatological Manifestations in Fatal Lightning Strike - A Case Report

Abstract Views: 429  |  PDF Views: 14

Authors

P. S. Chidananda
Department of Forensic Medicine and Toxicology, Shimoga Institute of Medical Sciences, Shimoga, India
Adam Ali Nadaf
Department of Forensic Medicine and Toxicology, Karnataka Institute of Medical Sciences, Hubli, Karnataka - 580022, India
B. Deepak Kumar
Department of Pathology, Shimoga Institute of Medical Sciences , Shimoga, RGUHS, Karnataka, India
K. G. Raviraj
Department of Forensic Medicine and Toxicology, Vydehi Institute of Medical Science, Bangalore, RGUHS, Karnataka, India
M. R. Veeresh
Department of Forensic Medicine and Toxicology, Shimoga Institute of Medical Sciences, Shimoga, RGUHS, Karnataka, India

Abstract


Instances of lightning strike in humans are less common. Though survival is the more usual outcome in such natural calamities, death could be caused due to cardiopulmonary arrest, damage to brain, burns or rarely from disruption of body due to blast effect. We report a case of fatal lightning strike in an adult male with dermatological manifestations of superficial burns, burns from heated necklace along with entry and exit wounds. Inspite of today's technology improving in leaps and bounds, natural calamity cannot be prevented from occurring, never-the-less, precautionary measures in the form of erecting more number of lightning leaders and application of 30-30 rule may be employed.

Keywords


Strike, Entry and Exit wounds, Heated necklace burn, 30-30 Rule

References