Journal of Environment Pollution and Human Health
ISSN (Print): 2334-3397 ISSN (Online): 2334-3494 Website: http://www.sciepub.com/journal/jephh Editor-in-chief: Dibyendu Banerjee
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Journal of Environment Pollution and Human Health. 2013, 1(2), 16-20
DOI: 10.12691/jephh-1-2-2
Open AccessCase Report

Lightning Injuries in an In-door Setting: A Case Report and Review of the Literature

Albert Kreci1, Gentian Vyshka2, and Admir Sinamati1

1Institute of Legal Medicine, Tirana, Albania

2Faculty of Medicine, University of Medicine, Tirana, Albania

Pub. Date: October 08, 2013

Cite this paper:
Albert Kreci, Gentian Vyshka and Admir Sinamati. Lightning Injuries in an In-door Setting: A Case Report and Review of the Literature. Journal of Environment Pollution and Human Health. 2013; 1(2):16-20. doi: 10.12691/jephh-1-2-2

Abstract

Lightning injuries are not an infrequent occurrence, but casuistic is mainly related to the outdoor environment. Lightning injuries are also becoming uncommon due to better safety measures in electrical power supplying; nevertheless we refer a very rare case of a fatality due to lightning occurring inside home. Full forensic expertise was made to the corpse of a Caucasian 46 year old male, who died inside his kitchen room due to electrical discharge transmitted via the chimney of the home, whose external part was shocked from a lightning. Macroscopic changes following the electrical shock and images from the scene were registered. Although less frequently nowadays, Albanian families nevertheless still use to some extent wood stoves for heating. Chimneys that are mainly hand-made and non-professionally mounted have been imputed for carbon monoxide intoxication, but in rare unfortunate circumstances these chimneys might serve as electrical current transmitters, thus exposing users to very high risk. Lightning injuries transmitted via a rotten chimney whose external part is shocked from an electrical discharge, might quite well penetrate in their respective internal parts and get transmitted to humans in an indoor setting. Particular precautions are needed during mounting of chimneys that might serve as electricity transmitters, since casualties due to lightning in these circumstances are rare, but anyhow occurring.

Keywords:
lightning injuries electrical discharge in-door setting chimneys electrocution

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References:

[1]  Virenque C, Laguerre J. [Accidents of fulguration]. [Article in French]. Anesth Analg (Paris). 1976 Sep-Oct; 33(5):775-84.
 
[2]  Ritenour AE, Morton MJ, McManus JG, Barillo DJ, Cancio LC. Lightning injury: a review. Burns. 2008 Aug; 34(5):585-94.
 
[3]  Guy WA. Principles of forensic medicine. Henry Renshaw, London, UK, 1844.
 
[4]  Cooper MA. Electrical and lightning injuries. Emerg Med Clin North Am. 1984 Aug; 2(3):489-501.
 
[5]  Fontanarosa PB. Electrical shock and lightning strike. Ann Emerg Med. 1993 Feb; 22(2 Pt 2):378-87.
 
[6]  O'Keefe Gatewood M, Zane RD. Lightning injuries. Emerg Med Clin North Am. 2004 May; 22(2):369-403.
 
[7]  Guardiola B, Planella M, Ferreruela M, Velasco J, Pérez-Bárcena J, Llompart-Pou JA. Brain injury secondary to lightning strike. [Article in English, Spanish]. Med Intensiva. 2013 June-July; 37(5):367-368.
 
[8]  Myung NS, Lee IW, Goh EK, Kong SK. Cochlear implantation for severe sensorineural hearing loss caused by lightning. Am J Otolaryngol. 2012 Nov-Dec; 33(6):767-9.
 
[9]  Figgis P, Alvarez G. Delayed esophageal perforation following lightning strike: a case report and review of the literature. J Med Case Rep. 2012 Aug 20; 6(1):244.
 
[10]  Nayrac P, Warot P, Caron J. [Polyradiculoneuritis after fulguration]. Echo Med Nord. 1952 Jun-Jul; 23(6-7):282-5.
 
[11]  Shaha KK, Joe AE. Electrocution-related mortality: a retrospective review of 118 deaths in Coimbatore, India, between January 2002 and December 2006. Med Sci Law. 2010 Apr; 50(2):72-4.
 
[12]  Strauch H, Wirth I. [Fatal electric arc accidents due to high voltage]. [Article in German]. Arch Kriminol. 2004 Nov-Dec; 214(5-6):163-72.
 
[13]  Karger B, Süggeler O, Brinkmann B. Electrocution – autopsy study with emphasis on “electrical petechiae”. Forensic Sci Int. 2002 May 23; 126(3):210-3.
 
[14]  Chai J, Song H, Sheng Z, Chen B, Yang H, Li L. Repair and reconstruction of massively damaged burn wounds. Burns. 2003 Nov; 29(7):726-32.
 
[15]  Uzün I, Akyildiz E, Inanici MA. Histopathological differentiation of skin lesions caused by electrocution, flame burns and abrasion. Forensic Sci Int. 2008 Jul 4; 178(2-3):157-61.
 
[16]  Hauser R, Kaliszan M, Basir A, Basir ID. Lightning Strike as Probable Cause of Death and Determining Identity Based on the Examination of Skeletal Remains. J Forensic Sci. 2013; 58(2): 527-529.
 
[17]  Domart Y, Garet E. Images in clinical medicine. Lichtenberg figures due to a lightning strike. N Engl J Med. 2000 Nov 23; 343(21):1536.
 
[18]  National Center for Health Statistics. Vital statistics of the United States. Vol II, part A, statistic 1990–1992 and NHCS website’s data warehouse at www.cdc.gov/nchs/ for data1993–1996 (search conducted in March 1999).
 
[19]  Nguyen BH, MacKay M, Bailey B, Klassen TP. Epidemiology of electrical and lightning related deaths and injuries among Canadian children and youth. Inj Prev. 2004 Apr; 10(2):122-4.
 
[20]  Dzhokic Gj, Jovchevska J, Dika A. Electrical injuries: etiology, pathophysiology and mechanism of injury. Macedonian Journal of Medical Sciences 2008; 1(2): 54-58.
 
[21]  Conrad L. Clinical update on lightning injuries. Wilderness Environ Med. 1998 winter; 9(4):217-22.
 
[22]  Tuite K. Lightning, Sacrifice, and Possession in the Traditional Religions of the Caucasus. Anthropos. 2004; 99: 143-159.
 
[23]  Herrero F, Garcia-Morato V, Salinas V, Alonso S. An unusual case of lightning injury: a melted silver necklace causing a full thickness linear burn. Burns. 1995; 21:308–309.
 
[24]  Koumbourlis AC. Electrical injuries. Crit Care Med. 2002 Nov; 30(11 Suppl):S424-30.
 
[25]  Bruner JM. Hazards of electrical apparatus. Anesthesiology. 1967 Mar-Apr; 28(2):396-425.
 
[26]  Lee RC. Injury by electrical forces: pathophysiology, manifestations, and therapy. Curr Probl Surg. 1997 Sep; 34(9):677-764.
 
[27]  Craig SR. When lightning strikes. Pathophysiology and treatment of lightning injuries. Postgrad Med. 1986 Mar; 79(4):109-12, 121-4.
 
[28]  Butler ED, Gant TD. Electrical injuries, with special reference to the upper extremities. A review of 182 cases. Am J Surg. 1977 Jul; 134(1):95-101.
 
[29]  Lichtenberg R, Dries D, Ward K, Marshall W, Scanlon P. Cardiovascular effects of lightning strikes. J Am Coll Cardiol. 1993 Feb; 21(2):531-6.
 
[30]  Cherington M. Central nervous system complications of lightning and electrical injuries. Semin Neurol. 1995 Sep; 15(3):233-40.
 
[31]  Kleinschmidt-DeMasters BK. Neuropathology of lightning-strike injuries. Semin Neurol. 1995 Dec; 15(4):323-8.
 
[32]  Holle RL, López RE, Navarro BC. Deaths, injuries, and damages from lightning in the United States in the 1890s in comparison with the 1990s. Journal of Applied Meteorology 2005; 44: 1563-1573.
 
[33]  Holle RL, López RE, Howard KW, Vavrek J, Allsopp J. Safety in the presence of lightning. Semin Neurol. 1995 Dec; 15(4):375-80.
 
[34]  Zafren K, Durrer B, Herry JP, Brugger H; ICAR and UIAA MEDCOM. Lightning injuries: prevention and on-site treatment in mountains and remote areas. Official guidelines of the International Commission for Mountain Emergency Medicine and the Medical Commission of the International Mountaineering and Climbing Federation (ICAR and UIAA MEDCOM). Resuscitation. 2005 Jun; 65(3):369-72.
 
[35]  Davis C, Engeln A, Johnson E, McIntosh SE, Zafren K, Islas AA, McStay C, Smith W', Cushing T; Wilderness Medical Society. Wilderness medical society practice guidelines for the prevention and treatment of lightning injuries. Wilderness Environ Med. 2012 Sep; 23(3):260-9.
 
[36]  Lightning Safety Group. Lightning safety group recommendations. Phoenix, Arizona. American Meteorological Safety Conference, 1998.
 
[37]  Attarian A. A review of lightning safety education for outdoor adventure programs. Wilderness Environ Med. 2010 Jun; 21(2):176-7.
 
[38]  Pfortmueller CA, Yikun Y, Haberkern M, Wuest E, Zimmermann H, Exadaktylos AK. Injuries, sequelae, and treatment of lightning-induced injuries: 10 years of experience at a Swiss trauma center. Emerg Med Int. 2012; 2012: 167698.