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April 1978

Creatine Phosphokinase Isoenzyme Fractions in the Serum of a Patient Struck by Lightning

Author Affiliations

From the Department of Clinical Pathology, University of Alabama Medical Center, Birmingham. Dr Harwood is now with University Hospital, Augusta, Ga.

Arch Intern Med. 1978;138(4):645-646. doi:10.1001/archinte.1978.03630280097031

Serial creatine phosphokinase (CPK) isoenzyme determinations were taken in an 8-year-old boy whose being struck by lightning resulted in prolonged cerebral anoxia, inferolateral myocardial infarction and death. All three isoenzyme levels (CPK-MM, CPK-MB, and CPK-BB) were elevated. The CPK-BB isoenzyme level increase was transient, being very high three hours postlightning strike and disappearing at approximately 24 hours.

(Arch Intern Med 138:645-646, 1978)