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Acute rhabdomyolysis of the soleus muscle induced by a lightning strike: magnetic resonance and scintigraphic findings. | LitMetric

AI Article Synopsis

  • Lightning strikes are rare but can cause life-threatening cardiac arrest and complications like muscle necrosis and acute renal failure.
  • A case study detailed a 54-year-old man who suffered from acute rhabdomyolysis in his left soleus muscle after being struck by lightning.
  • Imaging techniques like MRI and bone scintigraphy were crucial in assessing the muscle damage and the patient's elevated serum creatine kinase levels helped guide his treatment.

Article Abstract

Among natural disasters, a lightning strike is a rare but potentially life-threatening phenomenon. If victims survive a cardiac arrest due to instantaneous passage of an exceptionally high voltage electric charge through the whole body, they may be afflicted with various complications such as muscle necrosis resulting in acute renal failure. In this article, we report a case of a 54-year-old man with acute rhabdomyolysis of the left soleus muscle associated with a lightning strike. T2-weighted and short-tau inversion recovery MR images showed a high signal intensity in the left soleus muscle. A whole-body bone scintigram showed abnormal uptakes in the left soleus muscle and the dorsal aspect of the left foot. MR and scintigraphic evaluations were very useful in depicting the site and extent of muscle damage. Since the patient showed a surprisingly high level of serum creatine kinase, the added information was very valuable for determining the patient's management.

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Source
http://dx.doi.org/10.1007/s00256-006-0247-5DOI Listing

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