Abstract
Serial creatine phosphokinase (CPK) isoenzyme determinations were taken in an 8 yr old boy whose being struck by lightning resulted in prolonged cerebral anoxia, inferolateral myocardial infarction and death. All 3 isoenzyme levels (CPK-MM, CPK-MB and CPK-BB) were elevated. The CPK-BB isoenzyme level increase was transient, being very high 3 h postlightning strike and disappearing at approximately 24 h.

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