Lightning-strike induced acute injury: A case report

Abstract

Lightning strike injury is a rare but a devastating lifethreatening condition affecting virtually all tissues and solid organs of the body. This  can be attributed to the various energy transmission mechanisms from lightning strikes. This include ground strike, contact voltage, side flash, wire-mediated lightning, direct strike and weak upper streamer. Acute lung injury following lightning strike is an uncommon  presentation which can manifest as pulmonary oedema, alveolar haemorrhage, pulmonary contusion and acute respiratory distress  syndrome. This is a case report of a 15-year-old female, who presented to the Emergency CC –BY 4.0 unit following a lightning strike injury. She presented in coma from the referral centre, markedly dyspnoeic, and eventually admitted into the intensive care unit on account of respiratory failure. Chest radiograph findings showed features in-keeping with non- cardiogenic pulmonary oedema. She was  mechanically ventilated, placed on steroids, hydrated, and given antibiotics. Following treatment, respiratory distress resolved and she  regained full consciousness. She was discharged home after 11 days of admission.