1Professor & Head, Medicolegal Expert and Consultant, Department of Forensic Medicine and Toxicology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India
2Assistant Professor, Pondicherry Institute of Medical Sciences, Pondicherry, India
3Division of Gastroeneterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
4Junior Resident, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India
5Associate Professor, Department of Forensic Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India
6Undergraduate Medical Trainee, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India
7Undergraduate Medical Trainee, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India
*Corresponding author. E-mail address: - ppjrao@gmail.com, ppj.rao@manipal.edu (Dr. Jagadish Rao Padubidri) Contact No: +91-9900405085
Online published on 19 June, 2025.
Lightning strike is a rare and potentially fatal natural phenomenon, with the probability of an individual getting struck being less than one in a million. Lightning is responsible for thousands of injuries and deaths worldwide each year, often during outdoor activities. Lightning injuries result from the immense electrical energy transmitted to the body, which can affect multiple organ systems, causing anything from superficial burns to fatal cardiac or neurological damage. Here, we present a case of a lightning strike on a boat during a thunderstorm. Out of five individuals on board, one person was directly struck by lightning and succumbed to his injuries, while the other four sustained either minor injuries or were unharmed. Notably, the deceased individual had no metallic objects on him except for a cap with a small metallic component. The remaining individuals, who were indirectly affected, had metallic objects on them. This case highlights the unpredictable and lethal nature of direct lightning strikes and explores the potential influence of conductive materials and environmental factors on injury outcomes.
Lightning, Barotrauma, Keraunopathology