Lightning strike-induced brachial plexopathy

Bhargava, Amita; Kasundra, Gaurav M; Khichar, Subhakaran; Bhushan, Bharat

doi:10.4103/0976-3147.140000

Cited by 9 publications

(6 citation statements)

References 9 publications

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“…The lightning injury in this study occurred when our patient tried to step out of her bedroom. This finding is contrary to many studies that reported lightning strikes during outdoor activities [ 1 , 10 , 19 , 20 ]. However, our finding was consistent with studies by Mistovich et al ., who reported lightning strikes that occurred indoors [ 9 ].…”

Section: Discussioncontrasting

confidence: 99%

A rare manifestation of burns after lightning strike in rural Ghana: a case report

2017

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BackgroundLightning is a natural phenomenon that mostly affects countries in the tropical and subtropical regions of the globe, including Ghana. Lightning strikes pose a global public health issue. Although strikes to humans are uncommon, it is associated with high morbidity and mortality.Case presentationWe present a case of a 10-year-old Ghanaian girl who got second-degree burns after being struck by lightning. She was put on an intravenous broad-spectrum antibiotic (ceftriaxone), Ringer’s lactate, and her burns were dressed with sterile gauze impregnated with Vaseline (petroleum jelly) and silver sulfadiazine ointment. There was marked improvement on the 16th day of treatment despite the lack in capacity of the hospital to carry out some laboratory diagnostic tests. On the 21st day of treatment, the burns were completely healed without scars and contractures.ConclusionsThis is evidence of burns due to lightning strike, despite its rare occurrence. This report will help inform those in doubt, particularly in communities where lightning injuries are associated with widespread superstition. The case report also revealed how rural healthcare can be challenging amid a lack of basic diagnostic equipment and logistics. However, in resource-limited settings, Vaseline (petroleum jelly) and silver sulfadiazine could be used in the treatment of burns.

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Section: Discussioncontrasting

confidence: 99%

A rare manifestation of burns after lightning strike in rural Ghana: a case report

2017

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“…Some of the complications after electrical injuries are renal failure, cardiac arrest, arrhythmias, bone fracture, wound infections, muscle infections, amputation, long bone fracture, numbness, unconsciousness, internal bleeding, internal organ perforations, and acalculous cholecystitis [10,[33][34][35][36][37]. And long-term complications are cataract, transverse myelitis, amyotrophic lateral sclerosis, post-traumatic stress disorder, depression and psychological and neurological disorders [41][42][43][44][45][46][47].…”

Section: Discussionmentioning

confidence: 99%

“…The basic fundamentals for treatment of these injuries are basic trauma rescuscitation, decompression and debridement, early definitive closure [10,[33][34][35][36][37] and treatment of special parts of body like hand and elbow, splinting, rehabilitation [38][39][40][41][42][43] and neurological and psychological support [44][45][46][47][48][49][50]…”

Section: Objectivementioning

confidence: 99%

Acute electrical injury: A systematic review

Latifi¹,

Karimi²

2017

JAD

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“…La paciente a su ingreso presento confusión y letargia, las cuales continuaron hasta su deceso. Las parestesias transitorias, disestesias y espasmos musculares, son también comunes, pues las afecciones del sistema nervioso periférico se localizan principalmente a nivel de las extremidades, reportándose incluso algunos casos de plexopatía braquial 32 . En algunos pacientes se puede presentar cefalea postraumática, la cual generalmente se resuelve dentro de unos pocos meses.…”

Section: Sistema Nerviosounclassified

Muerte materna incidental en un accidente por relámpago: Reporte de caso

Jiménez-López¹,

Martínez-Velasco²,

Rosas-Díaz³

et al. 2019

Rev. Medicas UIS

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Los relámpagos se presentan con una frecuencia mayor a 50 veces por segundo a nivel mundial; sin embargo, las descargas directas suceden rara vez y son responsables del 5% de los eventos fatales. El mecanismo de lesión inicial es la parálisis de los centros vitales, lo que ocasiona apnea, fibrilación auricular o paro cardíaco. En mujeres embarazadas, el accidente por rayo puede producir complicaciones graves, dependiendo del punto de entrada en el cuerpo y su efecto indirecto sobre el feto, produciendo trastornos de la conducción en el sistema cardíaco y daño a nivel del sistema nervioso central. En la literatura mundial, solo catorce casos de embarazo y traumatismo por relámpago han sido reportados, sobreviviendo en todos la madre, con un único reporte de muerte fetal. Se presenta un caso de accidente por relámpago en una mujer embarazada en la semana 23 de gestación, cuyo tipo de lesión fue por contacto directo en el abdomen, y quien ingresó con compromiso neurológico, taquicardia materna y bradicardia fetal. El deceso materno ocurrió por infarto agudo extenso del miocardio y la formación de un émbolo intracavitario en el ventrículo izquierdo, con la consecuente muerte del binomio. Se describe su frecuencia, el mecanismo de lesión, las manifestaciones clínicas y el manejo actual. MÉD.UIS.2019;32(1):21-6

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Lightning strike-induced brachial plexopathy

Cited by 9 publications

References 9 publications

A rare manifestation of burns after lightning strike in rural Ghana: a case report

A rare manifestation of burns after lightning strike in rural Ghana: a case report

Acute electrical injury: A systematic review

Muerte materna incidental en un accidente por relámpago: Reporte de caso

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