Citation

Duppel H, Löbermann M, Reisinger EC. Dtsch. Med. Wochenschr. 2009; 134(23): 1214-1217.

Vernacular Title

Aus heiterem Himmel vom Blitz getroffen.

Affiliation

Abteilung fur Tropenmedizin und Infektionskrankheiten, Klinik fur Innere Medizin, Universitat Rostock.

Copyright

(Copyright © 2009, Georg Thieme Verlag)

DOI

10.1055/s-0029-1222596

PMID

19472092

Abstract

HISTORY AND CLINICAL FINDINGS: A group of six hikers were hit by lightning out of the blue sky. The biggest harm was done to a 29-year-old man (size: 190 cm) while walking along a high spruce. He experienced a seizure with consecutive sinus tachycardia and hypertensive dysregulation. One year later he still complained about reduced physical strength. The other five hikers had less severe injuries. INVESTIGATIONS: Burns were detectable in five of six patients. Elevated creatine kinase and myoglobin were indicative for myo-lysis. Renal parameters were normal. DIAGNOSIS, THERAPY AND COURSE: All patients were treated with intravenous fluid and electrolyte substitution during transport to hospital. Two patients were additionally treated with metroprolol. CONCLUSION: Cardiac arrhythmias, usually tachycardia, myolysis, and seizures require early treatment with beta blockers, sufficient fluid supply, and antiepileptics. In patients with cardiac arrest after a lightning injury immediate cardiac resuscitation is crucial.

Language: en