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Dog bites

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14 papers 25 to 100 followers
Valerie Tan, John C Schwartz
We report a case of a 54-year-old man who developed gram-negative sepsis with multiorgan failure and generalized Shwartzman reaction after sustaining a dog bite. The causative organism was the fastidious gram-negative rod Capnocytophaga canimorsus, which is a commensal organism found in the oral flora of dogs and cats. More than 30 years after it was first described and despite technological advances in identification techniques, proper identification of this organism remains a challenge. In light of the increase in pet ownership as well as the increase in the different immunocompromised populations of the 21st century, we decided to revisit the case and reignite awareness of physicians caring for patients with recent dog or cat bites presenting with fulminant sepsis...
April 2014: Proceedings of the Baylor University Medical Center
Pedram Daraei, Jason P Calligas, Elizabeth Katz, Joanna W Etra, Anita B Sethna
IMPORTANCE: Upper lip avulsion after traumatic dog bite is a serious cause of facial disfigurement for which there is no consensus on management in the acute setting. OBJECTIVE: This review was prompted by a case at our institution and is intended to display the available evidence in the management of the patient after dog bite injury to the upper lip. Our main goals are to create a management algorithm using current evidence and to stimulate further clinical investigation to improve outcomes in patients with facial dog bite injuries...
March 2014: American Journal of Otolaryngology
Nikolaos K Paschos, Eleftherios A Makris, Apostolos Gantsos, Anastasios D Georgoulis
INTRODUCTION: Dog bite wounds represent a major health problem. Despite their importance, their management and especially the role of primary closure remain controversial. In this randomised controlled trial, the outcome between primary suturing and non-closure was compared. METHODS: 168 consecutive patients with dog bite injuries were included in this study. The wounds were allocated randomly in two treatment approaches: Group 1, consisting of eighty-two patients, had their wound sutured, whilst Group 2, consisting of eighty-six patients, did not have their wounds sutured...
January 2014: Injury
Chen Rui-feng, Huang Li-song, Zheng Ji-bo, Wang Li-qiu
BACKGROUND: To investigate the emergency treatment on facial laceration of dog bite wounds and identify whether immediate primary closure is feasible. METHODS: Six hundred cases with facial laceration attacked by dog were divided into two groups randomly and evenly. After thorough debridement, the facial lacerations of group A were left open, while the lacerations of group B were undertaken immediate primary closure. Antibiotics use was administrated only after wound infected, not prophylactically given...
2013: BMC Emergency Medicine
Shay Froind, Angelica Shapira Parra, Nili Segal
OBJECTIVES: Dog bite injury of the head and neck is not rare in children although intracranial injury is reported anecdotally. Among the case reports there is a significant number of patients in whom the diagnosis of penetrating cranial injury was delayed. The aim of the study was to describe a patient with a trans mastoid head injury due to a dog bite that was not diagnosed at presentation and review similar cases in the literature. METHODS: A 13-year-old girl was admitted to the emergency room with severe head, neck and breast lacerations...
September 2013: International Journal of Pediatric Otorhinolaryngology
A George Akingba, Eric A Robinson, Andrea L Jester, Brian M Rapp, Anthony Tsai, Raghu L Motaganahalli, Michael C Dalsing, Michael P Murphy
BACKGROUND: Vascular trauma from large-dog bites present with a combination of crush and lacerating injuries to the vessel, as well as significant adjacent soft tissue injury and a high potential for wound complications. This retrospective case series evaluates our 15 years of experience in managing this uncommonly seen injury into suggested treatment recommendations. METHODS: From our database, 371 adult patients presented with dog bites between July 1997 and June 2012...
November 2013: Journal of Vascular Surgery
María Zulema Cantú-Cantú, Iván Lyra-González, Juan Armendáriz-Borunda
BACKGROUND: This case report assesses the effectiveness of surgery plus pirfenidone (PFD) as a concomitant therapy in the management of facial trauma after severe dog bite. METHODS: A 16-month-old female patient who suffered a severe attack by a big-sized dog (Rottweiler) in the midface area was managed with surgery/PFD combination and followed up for 20 months to evaluate the efficacy to control, prevent, and improve injury sequels. RESULTS: Surgery/PFD combination offered a good complementary therapy downregulating inflammatory activity, improving blood supply, and activating cytokine modulation and collagen synthesis/biosynthesis (scar control)...
March 2013: Journal of Craniofacial Surgery
Barry L Eppley, Arno Rene Schleich
Dog bite injuries to a child's face are not an infrequent occurrence. They may require primary and revisional surgery. All result in permanent facial scars. This report describes the treatment and outcomes of dog bites of the face, scalp, and neck based on a case series of 107 children over a 10-year period.The average children's age was 5.9 years. In cases where the dog was identified (95%), it was known to the victim and their family. The events leading to the dog bite were categorized as provoked (77%) in the majority of the cases...
March 2013: Journal of Craniofacial Surgery
Andrew H Huang, Michael S Wong
PURPOSE: This study aimed to describe immediate nasal reconstruction using a forehead flap after dog bite injuries. BACKGROUND: Dog bites to the nose can avulse multiple aesthetic subunits, making primary repair difficult, inadvisable, or impossible. Microsurgical replantation and composite grafting of the nose have been reported, but this assumes the avulsed nasal segments are salvageable even after the animal's attack. METHODS: We present 2 cases of dog bites to the nose with loss of multiple aesthetic subunits...
April 2013: Annals of Plastic Surgery
Matheus Furtado de Carvalho, Luiz Augusto Paixão Hardtke, Max Filipe Cota de Souza, Vasco de Oliveira Araujo
Dog bites represent lesions commonly found in Hospital Emergency Clinic. This type of lesion may cause severe harm to patients, but it rarely affects the underlying bone structure causes facial fracture. This study aims to illustrate a rare clinical case in which a pediatric patient presented a comminuted fracture in the mandible which evolved into a unilateral avulsion of the mandibular condyle, body fractures as well as a mandibular ramus and hemiface that had been deformed, with multiple lacerations and loss of soft-tissue mass...
August 2012: Dental Traumatology: Official Publication of International Association for Dental Traumatology
S Mouro, C L Vilela, M M R E Niza
Although dog-to-dog bite wounds are frequent, few studies correlate bacterial involvement to clinical aspects. This work aimed at relating clinical evolution and bacteriological data, with the evolution time (ET), i.e., the period of time elapsed from aggression until presentation. A total of 228 wounds from 83 cases of bitten dogs was evaluated; 48 of the wounds were sampled for bacteriology. Dogs with clinically infected wounds (N=29) were subjected to antimicrobial therapy and local disinfection. Dogs without clinical signs of infection were either subjected to the same treatment (N=43) or only subjected to daily wound saline irrigation (N=11), to evaluate the need for antimicrobial prophylaxis...
July 29, 2010: Veterinary Microbiology
Dawn Marie Daniels, Rovane B S Ritzi, Joseph O'Neil, L R Tres Scherer
BACKGROUND: Dog bites are a significant public health problem among children. The purpose of this study was to examine the hospital incidence, hospital charges, and characteristics of dog bite injuries among children by age group and hospitalization status who were treated at our health care system to guide prevention programs and policies. METHODS: An electronic hospital database identified all patients younger than 18 years who were treated for dog bites from 1999 to 2006...
March 2009: Journal of Trauma
Allan Abuabara
Bite injuries to the head and neck region can result in facial disfigurement with distressing physical and psychological consequences. This article reviewed the causes and management of facial bite wounds due to dog bites. A PUBMED search of the National Library of Medicine from 1995 to December 2005 was conducted. Keywords used in the search were facial wound, bite wound, dog bite. The results showed that the risk factors for dog attacks include: school-aged children, male, households with dogs, male dogs and certain breeds (german shepherds, bull terriers, blue/red heelers, dobermans and rottwellers)...
July 2006: Medicina Oral, Patología Oral y Cirugía Bucal
K A Gershman, J J Sacks, J C Wright
OBJECTIVE: Dog bites cause an estimated 585,000 injuries resulting in the need for medical attention yearly and children are the most frequent victims. This study sought to determine dog-specific factors independently associated with a dog biting a nonhousehold member. METHODS: A matched case-control design comprising 178 pairs of dogs was used. Cases were selected from dogs reported to Denver Animal Control in 1991 for a first-bite episode of a nonhousehold member in which the victim received medical treatment...
June 1994: Pediatrics
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