You may need to be on antibiotics so get medical care. There was minimal pain and bleeding. The researchers said 57 of the patients who were bitten needed to be hospitalized, but only 36 had been admitted immediately after seeking medical treatment. Cat bites need to be taken seriously and carefully evaluated by doctors, the study authors said. Federal government websites often end in .gov or .mil. A doctor or nurse will wash the wound thoroughly, trim away any dead tissue, and apply antibiotic ointment. Open cat bite of wrist; Open cat bite wound of neck; Present On Admission. They are most often located on the upper extremities and are almost always accompanied by scratches [2-4]. Of those admitted to the hospital, 38 patients needed surgery to clean the wound or remove infected tissue. If the patient is allergic to penicillin, recommend doxycyline 100 mg b.i.d. If you have been bitten by a cat, seeyour doctor or visit anurgent care facility. J Hand Surg Am. The warm and dark inner layers of your skin are optimal for the growth of the bacteria. Clipboard, Search History, and several other advanced features are temporarily unavailable. While five- to nine-year-old males are the principal victims of dog bites, middle-aged women were the most common victims of cat bites to the hand, according to the Mayo Clinic study. and thats just where most people get bitten by cats. Small but deep punctures there led to a higher risk of hospitalization than bites into soft tissue, according to the study. for two weeks. "It may look like a pin prick, but rule of thumb go see a doctor if a cat bites your hand," Carlsen said. . Before joining Pontchartrain Orthopedics and Sports Medicine, he completed a hand and microsurgery fellowship at the prestigiousPhiladelphia Hand Center. official website and that any information you provide is encrypted Laboratory findings showed erythrocyte sedimentation rate 28 mm/hour, high-sensitivity C-reactive protein 14.5 mg/L, WBC 10,0000/l, RBC 3.77 106/l, hemoglobin 12.3 g/dL, and hematocrit 35.3%. He graduated magna cum laude with a degree in biological sciences from. Cats, meanwhile, have sharp teeth and that dramatically increases the risk for a cat bite infection. Skin infections, known as cellulitis, can occur quickly after a bite. Wrist Tendonitis; DeQuervain's Tendonitis; Carpal Boss; Wrist Fractures; Distal Radius Fracture of the Wrist; Scaphoid Fractures of the wrist; Elbow. After being advised of the risk for infection, Mr. H agreed to follow up in three days or sooner if symptoms worsened. It has to pierce deep enough to get into the muscle where there is a good amount of blood flow. I now fear joint or bone or tendon . The treatment of such infections often requires hospitalization, intravenous antibiotic therapy, and operative treatment. Therapeutic III. Can antioxidants supercharge your brain power? Eikenella corrodens is often seen with human bite injuries and Pasteurella multocida is seen with dog and especially cat bite wounds. Eleven patients (Group A) were presented within 48 hours of their injury. Cats bite for a variety of reasons. However, more severe reactions can occur, and rashes can develop. Wrist Tendonitis; DeQuervain's Tendonitis; Carpal Boss; Wrist Fractures; Distal Radius Fracture of the Wrist; Scaphoid Fractures of the wrist . Puncture wounds tend to heal quickly, but a very deep bite can leave a scar. Dutton LK, Hinchcliff KM, Logli AL, Mallett KE, Suh GA, Rizzo M. JB JS Open Access. "Never doubt that a small group of thoughtful, committed citizens can change the world. 2022 Oct;35(5):498-499. doi: 10.37201/req/009.2022. Please login or register first to view this content. Treatment for wrist tendonitis can include rest, icing, anti-inflammatory drugs (NSAIDs), hand therapy, and cortisone injections. Read More, The Conscious Cat Product Guide features all of the best products for cats and cat lovers. Animal mouths contain a lot of bacteria which is why you want to wash it out with soap and water for around 5 minutes. Current medications included lisinopril 10 mg daily and pravastatin 20 mg daily. Four patients underwent digital or ray amputations. If you notice any redness, swelling, discharge from the wound, increasing pain, or difficulty moving the hand, seek emergency care. When you think about being bitten by an animal, smaller is better, right? Because cat bites usually cover a small area, you will probably be able to cover it with an over-the-counter adhesive Band Aid. Here are some of the potential infectious diseases that can happen after a cat bite: Pasteurella multocida is a type of bacteria frequently found in the mouths of cats that can cause infections after a bite or scratch. J Hand Surg Am. Although cats have no more germs in their mouths than dogs or people, researchers at the Mayo Clinic found that when cats bite, their sharp teeth can inject hard-to-treat bacteria deeply into the skin and joints, increasing the risk for serious infection. For 14 percent of these patients, outpatient treatment with antibiotics didn't work and they needed to be hospitalized. Unable to load your collection due to an error, Unable to load your delegates due to an error. [Sepsis after cat bite-How medical history, physical examination and interdisciplinary cooperation influence disease progression]. Mr. Hs medical history included hypertension, hypercholesterolemia, and tobacco abuse. Polymer-Based Constructs for Flexor Tendon Repair: A Review. Cats are also the main reservoir of Bartonella henselae, the causative agent of cat scratch disease, which was confirmed in the presented patient by serological examination. Terms of Use. The most common symptoms of infection from a cat bite include: redness or discoloration swelling inflammation warmth a bump or blister where the bite wound is located More serious symptoms of. The fear is that bacteria from the person's skin or from the cat's or dog's mouth gains access to a part of the body that is like a freeway for the bacteria to spread quickly the tendons. Relatively few bites occur on the leg (9%) suggesting that walking away from a frightened cat may be a good strategy. 1984 May;63(3):133-54. Privacy Policy of dog bites, middle-aged women were the most common victims of cat bites to the hand, according to the Mayo Clinic study. reported a staggering 28-80 percent cat bite infection rate. Wound cultures were significant for Pasteurella multocida. Ellis R, et al. The site is secure. Wounds are not closed after initial treatment so that any . Bites on the hand are also at a high risk of infection. Felines' sharp teeth can inject harmful bacteria deep into joints and tissue, doctors warn. Please note that by doing so you agree to be added to our monthly email newsletter distribution list. Cat bite: an injury not to underestimate. Tendon rupture: When a tendon separates from the tissue, in part or completely, it is supposed to be attached to, a tendon rupture occurs. Dr. Brandon P. Donnelly is a native of Slidell, LA. Once trapped under the skin, these bacteria spread and multiply, causing infection and inflammation (cellulitis) of the surrounding soft tissues. Cat bites with infections can become not only painful, but also red or discolored, and swollen. Of those, 57 were hospitalized; on average, they were in the hospital three days. Twenty cases of cat bites to the hand and wrist were retrospectively reviewed between 2014 and 2018. Use to remove results with certain terms To assess the overall morbidity of cat bites to the hand and identify risk factors for hospitalization after such an injury. According to Poison Control, CSD is usually not serious, but people with weakened immune systems are at risk of developing a more serious infection. Delayed presentation of infected cat bites increased the likelihood of more complicated surgeries such as amputation. Mr. H was advised to stop taking Vicodin and started on oxycodone (Percocet) 5/325 mg one or two orally every six hours as needed. Once symptoms are present, rabies is typically fatal. Patient demographics, medical history, physical examination findings, laboratory values, and long-term follow-up data were collected. A more serious infection may lead to pus or what looks like red streaks down your skin and may cause fever. Conclusions: Cat bite injuries to the hand can progress to serious infection. Cureus is on a mission to change the long-standing paradigm of medical publishing, where submitting research can be costly, complex and time-consuming. Rev Soc Bras Med Trop. Copyright 2023 Haymarket Media, Inc. All Rights Reserved Unable to load your collection due to an error, Unable to load your delegates due to an error. Some states allow this quarantine to be done in the cats home, others require that it will be carried out in an approved animal control facility. del Mar Amador M, et al. 2. Clean bite wounds thoroughly with soap and water. fever or chills. Adult cats bite out of fear, to assert dominance, or to demand attention. Can vitamin D help maintain muscle strength? You should be especially careful if the wound is around your wrist area. The right arm was placed in a sling for elevation of the extremity. 1995 Aug;52(2):479-85, 489-90. If you suspect youve been bitten by a bat, its important to seek medical attention as soon as, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. If the wound is deep, if you see signs of infection as listed above, or if you have any other reason for concern, be sure to see your doctor. (2016). The type of animal involved will determine the specific injury that occurs; cats have a weaker bite but sharper teeth, therefore cause deep puncture wounds, whilst dogs have a strong bite . But remember, if you are bitten, prompt medical care is required to prevent serious, even long-term complications from a cat bite infection. Clinical Guidelines in Family Practice. Yet most animal bites are avoidable: Understanding how to interact with animals, and staying aware of any signals of aggression or fear, are both critically important. These red streaks are from the infection traveling down your lymph system. At six-weeks postoperative, Mr. H had full range of motion and increased strength in the right hand. She said because she was uninsured the hospital wrote off some of the bill but she is still making payments. The researchers studied nearly 200 cat bite cases that occurred between 2009 and 2011. The more severe the bruising or bleeding looks, the worse the bite is.
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