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DOI: 10.5999/aps.2016.43.6.590
Osteomyelitis following Domestic Animal Bites to the Hand: Two Case Reports and Practical Guidelines
Authors
Recently, the number of cases of animal bite wounds has increased significantly in concordance with an increase in the pet population around the world. The authors report two rare cases of osteomyelitis of the phalanx following cat and dog bites. On initial physical examination, signs of a severe infection were observed. Radiographs of both patients showed the presence of osteomyelitis, and in one of the patients, the diagnosis was confirmed with a bone biopsy. After use of empirical antibiotics, intravenous antibiotic therapy that matched the identified bacterium's sensitivity was initiated, and at the same time, secure dressing including debridement was performed to induce secondary healing. In addition, the patients were closely monitored with serial X-rays, and culture and blood test follow-up. One patient fully recovered without sequelae, but the other patient suffered a loss of distal interphalangeal joint motion. When dealing with bite wounds located on the hand, it is important to visit the hospital as soon as possible and receive the appropriate treatment early. Moreover, to prevent severe complications such as osteomyelitis, it is important to administer antibiotic therapy to which the cultured bacteria are sensitive, along with proper wound management and prophylactic antibiotic treatment.
Publication History
Received: 17 May 2016
Accepted: 05 July 2016
Article published online:
20 April 2022
© 2016. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
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References
- 1 Benson LS, Edwards SL, Schiff AP. et al. Dog and cat bites to the hand: treatment and cost assessment. J Hand Surg Am 2006; 31: 468-473
- 2 Kim SH, You JY, Ryu JY. A comparison of characteristics in dog bite patients. J Korean Soc Traumatol 2005; 18: 135-140
- 3 Griego RD, Rosen T, Orengo IF. et al. Dog, cat, and human bites: a review. J Am Acad Dermatol 1995; 33: 1019-1029
- 4 Goldstein EJ. Bite wounds and infection. Clin Infect Dis 1992; 14: 633-638
- 5 Lee YG, Jeong SH, Kim WK. An analytical study of Mammalian bite wounds requiring inpatient management. Arch Plast Surg 2013; 40: 705-710
- 6 Hara H, Ochiai T, Morishima T. et al. Pasteurella canis osteomyelitis and cutaneous abscess after a domestic dog bite. J Am Acad Dermatol 2002; 46: S151-S152
- 7 Jarvis WR, Banko S, Snyder E. et al. Pasteurella multocida: osteomyelitis following dog bites. Am J Dis Child 1981; 135: 625-627
- 8 Desai SS, Groves RJ, Glew R. Subacute Pasteurella osteomyelitis of the hand following dog bite. Orthopedics 1990; 13: 653-656
- 9 Ellis R, Ellis C. Dog and cat bites. Am Fam Physician 2014; 90: 239-243
- 10 Oehler RL, Velez AP, Mizrachi M. et al. Bite-related and septic syndromes caused by cats and dogs. Lancet Infect Dis 2009; 9: 439-447
- 11 Morgan M, Palmer J. Dog bites. BMJ 2007; 334: 413-417
- 12 Stevens DL, Bisno AL, Chambers HF. et al. Practice guidelines for the diagnosis and management of skin and soft-tissue infections. Clin Infect Dis 2005; 41: 1373-1406
- 13 Fleisher GR. The management of bite wounds. N Engl J Med 1999; 340: 138-140