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Lightning struck his body during a thunderstorm, and the current ran along the path of the earphones and into his head, causing injuries to his jaw and ear eardrums. The patient's physicians say the combination of sweat and the metal earphones directed the current to his head.
A report in this week's New England Journal of Medicine (See original article) describes how a man running in a thunderstorm was burnt along the path of the earphones of his iPod and had his eardrums and jaw injured when he was struck by lightning.