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Dramatic lightning injury with exit wound.

¹Department of Pathology, Faculty of Medicine, University of Malaysia, Kuala Lumpur, Malaysia. opmurty@hotmail.com

Journal of Forensic and Legal Medicine

|August 18, 2006

Summary

A rare lightning strike case report details a schoolboy surviving direct and scatter effects, including burns and a unique exit wound. This incident highlights the severe, multifaceted dangers of atmospheric electricity.

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Area of Science:

Environmental Medicine
Trauma Surgery
Electrical Injuries

Background:

Lightning strikes are rare but can cause severe injuries.
Understanding the multifaceted effects of lightning is crucial for medical professionals.

Observation:

A schoolboy was struck by lightning that hit a football ground pole, causing scatter injuries.
The patient sustained current, blast, and flame effects, including extensive burns.
A rare exit wound from the lightning current was observed on the victim's left foot.

Findings:

The lightning strike resulted in significant burn injuries and thermal effects on the head, neck, face, and trunk.
The presence of an exit wound on the foot is an exceptionally uncommon finding in lightning strike cases.
Despite the severity of the injuries, the patient survived the lightning incident.

Implications:

This case underscores the unpredictable and varied nature of lightning-related trauma.
Highlights the importance of recognizing rare manifestations like exit wounds for accurate diagnosis and treatment.
Emphasizes the need for continued research into the pathophysiology and management of electrical injuries.

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