Abstract

A 45-year-old gentleman was admitted to our burns unit with a history of contact with high tension live electrical wire while sitting and working on an electric pole. He was fully alert and there was no loss of consciousness. Ocular movements, pupillary light reflexes and fundoscopy were normal. BP was normal. He had sustained burns to 20% of the total body surface area. These consisted of full thickness contact entry burns over the scalp, and full thickness exit wounds involving the bilateral inguinal region, penis and scrotum. The scalp and both tables of part of the parietal skull bone were necrotic. There were superficial and deep second degree flash burns over the neck, face, and the chest. On admission he was able to move all the four limbs normally. Urinalysis was positive for hemoglobin. Serum creatinine and electrolytes were normal. Creatine kinase was seen

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