A 48 year-old-female was struck dead by lightning on the 24th October 2010 in
Pretoria South Africa. The cause of death was due to direct lightning strike.
Examination showed secondary missile injury on her legs. This secondary missile
(shrapnel) injury was caused by the lightning striking the concrete pavement next to
her. Small pieces of concrete were located embedded within the shrapnel wounds.
This case report represents the first documented case of secondary missile formation
(shrapnel injury) due to lightning strike in the literature.