Presentation
Present only in animal bites were Pasteurella multocida, Pseudomonas fluorescens and M-5. Present only in human bites were Group A streptococci. Eighteen beta-lactamase-producing organisms were isolated in 16 wounds. [ncbi.nlm.nih.gov]
Conclusions: Human bite wounds present a challenge to any emergency department, given the many issues involved in their management. [doi.org]
Entire Body System
- Dog Bite
Dog bites were almost twice as common among men, while cat bites-scratches were twice as common among women. [ncbi.nlm.nih.gov]
Bite force quotient Wilderness first aid Dog bite Dog bite prevention Treating human bites [en.wikipedia.org]
- Veterinarian
CONCLUSIONS: Closer cooperation between physicians and veterinarians warrants more effective rabies control. [ncbi.nlm.nih.gov]
No Vaccination/Expired Vaccination/Not A Licensed Veterinarian – if a vaccination has expired, there is no record of a vaccination or if a vaccination was not provided by a licensed veterinarian, the owner must quarantine the animal at a licensed vet [ok.gov]
There are several assessment or evaluation scales that veterinarians or animal trainers can use to score individual or mixed-breed dogs for dominant or aggressive behavior. [medical-dictionary.thefreedictionary.com]
- Fatigue
[…] infection include: pus or fluid oozing from the wound tenderness in areas near the bite loss of sensation around the bite limited use of the finger or hand if the hand was bitten red streaks near the bite swollen lymph nodes fever or chills night sweats fatigue [healthline.com]
The early symptoms are flu-like, including headache, fever and fatigue. The best way to prevent yourself from being exposed to ABLV is to avoid handling any bat in Australia. [healthdirect.gov.au]
Chickenpox(수두) Child abuse(아동 학대) Chlamydia pneumoniae(클라미디아 폐렴) Chlamydial sexually transmitted diseases(클라미디아 성병) Cholangitis(acute)(담관염(급성)) Cholecystitis(담낭염) Choledocholithiasis(담관 결석) Cholelithiasis(담석증) Cholera(콜레라) Chronic cough(만성 기침) Chronic fatigue [m.yes24.com]
[…] pneumoniae(클라미디아 폐렴) = 220 Chlamydial sexually transmitted diseases(클라미디아 성병) = 222 Cholangitis(acute)(담관염(급성)) = 224 Cholecystitis(담낭염) = 226 Choledocholithiasis(담관 결석) = 228 Cholelithiasis(담석증) = 230 Cholera(콜레라) = 232 Chronic cough(만성 기침) = 234 Chronic fatigue [nl.go.kr]
Common symptoms include an inflamed sore in the area of the bite or scratch, swollen lymph nodes, fever, fatigue, and rash. Rabies is caused by a virus that is transmitted through the bite of an animal that is already infected. [medical-dictionary.thefreedictionary.com]
- Gangrene
Partial gangrene of the left index finger caused by the symbiosis of the fusiform bacillus spirochaetadenticola. J Am Med Assoc. 1910, 55: 887 – 8. Google Scholar Kelly, IP, Cunney, RJ, Smyth, EG, Coleville, J. [doi.org]
If you are suffering from an infected dog bite wound, you should contact your doctor and consider going to the emergency room, as an infection could lead to blood poisoning, gangrene at the site of the wound and possibly death. [wikihow.com]
혈관조영술 angiography, percutaneous: 경피혈관조영술 angiography, retrograde: 역행성혈관조영술 angiology: 맥관학, 혈관학 angioma: 맥관종, 혈관종 angiomatosis: 혈관종증 angiomatous malformation: 혈관종성기형 angiomyoma: 맥관근종 angiomyosarcoma: 맥관근육종 angioneurotic edema: 혈관신경성수종 angioneurotic gangrene [pann.nate.com]
- Anemia
[…] due to chronic disease = 1215 Anemia due to folate deficiency = 1215 Anemia, acquired sideroblastic = 1215 Anemia, hemolytic = 1215 Anemia, myelophthisic = 1216 Anhidrosis = 1216 Anorectal fissure = 1216 Anthracosis = 1216 Anthrax of the intestine = [nl.go.kr]
[…] due to chronic disease Anemia due to folate deficiency Anemia, acquired sideroblastic Anemia, hemolytic Anemia, myelophthisic Anhidrosis Anorectal fissure Anthracosis Anthrax of the intestine Anthrax of the lung Anthrax of the skin Aortic regurgitation [m.yes24.com]
원숭이 aperture: 구, 개구 apex: 첨단부, 정상부, 정, 첨 apex of heart: 심첨 aphagia: 무식증, 삼킴불능증 aphalangia: 무지지증 aphasia: 실어증 aphthous: 아프타성의 aphthous stomatitis: 아프타성구내염 apical: 첨단의, 선단의, 첨부의 apical lordotic view: 폐첨전만위상 aplasia: 형성부전증 aplastic: 형성부전의, 무형성성의 aplastic anemia [pann.nate.com]
Cardiovascular
- Vascular Disease
[…] immune suppression (steroids, asplenism) chronic alcoholism diabetes mellitus vascular disease existing edema of extremity microbiology most infections are polymicrobial, with > 1 anerobe most common isolate from both cats and dogs is Pasteurella sp. [orthobullets.com]
Musculoskeletal
- Fracture
In the emergency department, he obtained a radiograph of the hand, which did not demonstrate any acute fractures or foreign bodies. [medbullets.com]
Types of injury These include: mechanical injury e.g. damage to tissue, fractures infection – local or systemic rabies tetanus Prevention Advice for Travellers Travellers should be aware of the potential risks and consequences of animal bites and scratches [fitfortravel.nhs.uk]
Because of the thinness of the skin in these areas, potential injuries include joint penetration, metacarpal fracture, and extensor tendon laceration. Injury to the digital nerve or artery is rare. [emedicine.com]
굴곡골절 benign: 양성 benign prostatic hypertrophy: 양성전립선비대(증) benign tumor: 양성종양 benignity: 양성 bent fracture: 요곡골절 benzene: 벤젠 benzene ring: 벤젠환 beriberi: 각기 Bernouilli effect: 베르누이효과 berry aneurysm: 딸기형동맥류 beryllium: 베릴륨 beta: 베타 beta blocker: 베타차단제 betatron [pann.nate.com]
X-Rays Your doctor can order X-rays to check for bone fractures. An X-ray can also help them ensure there’s no debris in the wound that isn’t visible upon inspection. Certain types of foreign material such as dirt or grass are easy to overlook. [healthline.com]
Psychiatrical
- Fear
Dogs bite out of fear or to protect their territory or to establish their dominance over the person bitten. Some owners mistakenly teach their dogs that biting is an acceptable form of play behavior. [web.archive.org]
Many children that suffer a dog bite will form a lifelong fear of animals and/or experience frequent nightmares which can turn into a psychological condition that would need to be treated by a psychologist. [garyphillipsaccidentlaw.com]
By assuring the person and making him comfortable, we can avoid any sudden surges in the blood pressure (from fear) and increase in heart rate. Also, a normal blood pressure and heart rate can slow down bleeding and the spread of infection. 2. [philstar.com]
Ang mga sintomas ng rabies ay: Lagnat Sakit ng ulo Nausea Pagsusuka Aggressiveness or agitation Pagkabalisa sa liwanag at ingay Hirap sa paglunok Labis na paglalaway Fear of water Bahagyang pagka-paralisa ng katawan Kung meron kang kakilala na nagpapakita [tgp.com.ph]
Workup
Microbiology
- Staphylococcus Aureus
The most frequent isolates in both types of wounds were Staphylococcus aureus, anaerobic cocci and Bacteroides spp. Present only in animal bites were Pasteurella multocida, Pseudomonas fluorescens and M-5. [ncbi.nlm.nih.gov]
An emerging syndrome in veterinary and human medicine is meticillin-resistant Staphylococcus aureus (MRSA) infections shared between pets and human handlers, particularly community-acquired MRSA disease involving the USA300 clone. [citeseerx.ist.psu.edu]
Staphylococcus aureus is isolated in up to 30% of infected human bite wounds and is associated with some of the most severe infections. E corrodens is a slow-growing, facultative, anaerobic, gram-negative bacillus. [emedicine.com]
The most common pathogens are: Pasteurella spp. (50%) Staphylococcus aureus (20%) Streptococcus pyogenes Capnocytophaga canimorsus Various anaerobes. [dermnetnz.org]
- Eikenella
[…] bites, at least 64 species of bacteria are found in the canine mouth, and many resulting infections are polymicrobial. [8, 9, 10] Common bacteria involved in dog bite wound infections include the following: Staphylococcus species Streptococcus species Eikenella [emedicine.medscape.com]
Infections with Eikenella corrodens in a general hospital: a report of 33 cases. Rev Infect Dis. 1986, 8: 50 – 3. Google Scholar | Medline [doi.org]
Azithromycin was more active than clarithromycin against all Pasteurella species, including Pasteurella multocida subsp. multocida, Eikenella corrodens, and Fusobacterium species, while clarithromycin was more active than azithromycin against Corynebacterium [ncbi.nlm.nih.gov]
Commonly isolated aerobes include Eikenella corrodens and Staphylococcus, Streptococcus, and Corynebacterium species. [emedicine.com]
Treatment
There was a direct association between traditional pre-treatment practices and delay in seeking treatment for animal bites which was statistically significant (P = 0.01). [ncbi.nlm.nih.gov]
Often, bites go unreported and no medical treatment given - these bites go unreported. As many as one percent of pediatric emergency room visits are for treatment for animal bites. This is more frequent during the summer months. [en.wikipedia.org]
Treatment Treatment depends on the location of the bite and the rabies vaccination status of animal species inflicting the bite. [who.int]
Prognosis
If the wound is bleeding, then pressure has to be applied with a clean cloth or sterile gauze to arrest the bleed Typically, the prognosis of Animal Bites with timely and proper treatment is good. [dovemed.com]
[…] teeth, which will typically affect the dorsal surface of the third and fourth metacarpophalangeal or proximal interphalangeal joint this can result in joint penetration (leading to a septic joint), metacarpal fracture, and extensor tendon laceration Prognosis [medbullets.com]
Pasteurella septica causes intense pain, swelling in 48h other organisms similar to dog bites rabies caused by a rhabdovirus common animal carriers include dogs, raccoons, bats, foxes increased risk with open wounds, scratches/abrasions, mucous membranes Prognosis [orthobullets.com]
Etiology
The etiology of the wounds was further substantiated by microscopic examination of one of the wound sites. The identification of bite wounds and the techniques used to confirm the identity of the culprit are discussed. [ncbi.nlm.nih.gov]
(Etiology) Dog Bites form the most common subset of Animal Bites in the world; cats are the second most common cause of bites Incidence of Animal Bites have been reported from a variety of animals including stray raccoons, bats, skunks, foxes, monkeys [dovemed.com]
Ongoing controversies regarding etiology, diagnosis, treatment Because of a paucity of double-blind randomized controlled trials regarding primary versus delayed versus secondary wound closure in both animal and human bites, controversy exists, and most [clinicaladvisor.com]
Epidemiology
OBJECTIVES: To understand the epidemiology of animal bites and exposure, evaluate the animal exposure reporting system for surveillance of rabies postexposure prophylaxis (PEP), and identify opportunities to reduce PEP. [ncbi.nlm.nih.gov]
Epidemiology of adult acute hand infections at an urban medical center. J Hand Surg Am. 2013, 38: 1189 – 93. Google Scholar | Medline | ISI Goldstein, E. Management of human and animal bite wounds. J Am Acad Dermatol. 1989, 21: 1275 – 9. [doi.org]
Introduction Definition bites caused by an animal or human human bites can also result from a fist hitting the person's mouth Epidemiology incidence dog bites are the most common cause of an animal bite cat bites are the second most common cause of an [medbullets.com]
Introduction Bites by domestic animals are common delayed presentation (>1week) is common required care is often underestimated Epidemiology incidence (dog > cat > human) dog bites are most common animal bites in the US (90%) dog is known to victim in [orthobullets.com]
Pathophysiology
[…] common animal bites in the US (90%) dog is known to victim in 90% of cases cat bites are 2nd most common (10%) human bites are 3rd most common demographics more common in males more frequent at ages 2-19 years location upper extremity > lower extremity Pathophysiology [orthobullets.com]
Prevention
Appropriate wound treatment and prompt rabies post-exposure prophylaxis (PEP) are of great importance to rabies prevention. [ncbi.nlm.nih.gov]
Prevention of snake bites and their serious health consequences Prevention of snake bites involves informing communities about snake bite risks and prevention techniques, such as to: avoid tall grassy areas; wear protective shoes/boots; keep storage areas [who.int]