cat bite wrist tendon

Human and animal bites. A tetanus shot was administered. [Brusalis, 2017] Penetrating injuries are the most common (ex, cat scratch/bite). [Sepsis after cat bite-How medical history, physical examination and interdisciplinary cooperation influence disease progression]. J Am Acad Orthop Surg. Hand or wrist infection; cat bites; delayed treatment; diabetic finger; finger amputation; public awareness. Weber DJ, Wolfson JS, Swartz MN, Hooper DC. The main symptoms were limited and there was painful mobilisation of fingers and wrist, and swelling and redness in the area of the bite wound. However, more severe reactions can occur, and rashes can develop. They are most often located on the upper extremities and are almost always accompanied by scratches [2-4]. By joining Cureus, you agree to our Fever. In severe cases, surgery may be . 2020 Jul 23;12(7):e9357. J Hand Surg Am. They can seed bacteria in the joint and tendon sheaths. Here's how. Dawn Bothun, of Minnesota said a bite on her hand turned into an eight-week hospital ordeal and $150,000 in medical bills. These red streaks are from the infection traveling down your lymph system. A small puncture wound, particularly from a human or cat bite, may involve significant injury to the tendon, joint capsule, or articular cartilage. . Dr. Brandon P. Donnelly is a native of Slidell, LA. When a cat bites, it may not seem like a big deal it can be cute when theyre playing but some cat bites can pose significant health risks. Our website services, content, and products are for informational purposes only. The pain almost drove me up the . The second digit of the right hand was mildly edematous with five nondraining puncture wounds noted: two puncture wounds located between the proximal interphalangeal (PIP) and metacarpophalangeal joint of the second digit and three on the palmar aspect of the right hand. From the November 01, 2010 Issue of Clinical Advisor, Continuing Medical Education (CME/CE) Courses. "I thought I could manage them on my own but I couldn't move my wrist after a week.". Can low vitamin D increase risk of cancer? He described severe nonradiating pain to his right hand and second digit unrelieved by Vicodin or Naprosyn. NCI CPTC Antibody Characterization Program. Nine patients (Group B) presented later than 48 hours. Victims should be especially concerned about the risk of a cat bite infection if they develop swelling or inflamed skin. . With these locations, it's not hard for a cat to puncture a joint or the layer of membrane that covers a tendon. Skin infections, known as cellulitis, can occur quickly after a bite. But bewareyour cat can make you sick. Pontchartrain Orthopedics and Sports Medicine, Louisiana State University (LSU) Health Sciences Center. Dry the bite first, to help the Band Aid stick. J Plast Surg Hand Surg. Painful and swollen lymph nodes for more than 2 or 3 weeks. Your use of this website constitutes acceptance of Haymarket Medias Privacy Policy and Terms & Conditions. The skin usually flaps over the bite, thereby sealing off . The oral flora of humans includes Eikenella corrodens, staphylococci, streptococci, and anaerobes. This includes bites that: [8] Are on the face You should also teach children how to properly handle pets and to make sure they arent doing anything to unintentionally hurt or scare a cat. Briefly, infected bites will often appear red and swollen. She said because she was uninsured the hospital wrote off some of the bill but she is still making payments. Dont try to capture the cat yourself. We do not control or have responsibility for the content of any third-party site. Educating the patient about the importance of early management and immediate follow-up can reduce the risk of adverse sequelae and the potential costs of hospitalization and post-bite management. Deep puncture wounds from animal bites become morbid if not promptly tended and closely followed. Discomfort. This site needs JavaScript to work properly. Benson LS, Edwards SL, Schiff AP, Williams CS, Visotsky JL. J Hand Surg Am. Tendons can rupture and may require surgery. Copyright 2014 American Society for Surgery of the Hand. We recommend that any symptomatic cat bites to the upper limb, especially hand and wrist, must be treated promptly, essentially within 48 hours of injury, particularly in immunocompromised population. Therefore, its important to get an infection from a cat bite treated. Of these, 78% (n = 7) underwent multiple operations secondary to septic arthritis, osteomyelitis, necrotising fasciitis and deep collection. All patients recently treated at our institution for cat bite injuries to the hand were retrospectively reviewed. doi: 10.7759/cureus.9357. Misunderstanding this risk has led to a worrying number of hospitalizations, as patients require surgery to clean wounds or remove tissue thats become infected. 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. "We don't play like we used to," Bothun said. In more extreme cases, redirected aggression can cause a cat to lash out at her guardian and cause severe damage. Mr. H returned in three days as instructed. . The skin on the second digit of the right hand showed significant edema and erythema circumferentially (Figure 1). Immunocompromised people are at a higher risk of developing a severe infection from these bacteria. Treatment for wrist tendonitis can include rest, icing, anti-inflammatory drugs (NSAIDs), hand therapy, and cortisone injections. In fact, a 2013 research review showed that Pasteurella is the most common organism isolated from both cat and dog bites. Tendon rupture: When a tendon separates from the tissue, in part or completely, it is supposed to be attached to, a tendon rupture occurs. From furniture, scratching posts, beds and toys to food dishes and litter boxes, youll find everything you need for your feline family members.View the Product Guide. These findings should increase concern for a severe infection and warrant hospitalization and urgent consultation with a hand surgeon. Before "Never doubt that a small group of thoughtful, committed citizens can change the world. Your California Privacy Rights/Privacy Policy, Study shows 1 in 3 people who sought medical treatment for a cat bite on the hand were hospitalized, Most common cat bite victims are middle-age women. Is It Bedbugs, Other Bug Bites, or a Rash? Almost 40% of cases had flexor tendon sheath infection of the fingers. A. of nearly 200 cases between 2009-2011 found that one third of patients suffering from cat bite infections were hospitalized and two-thirds of those patients required surgery. The .gov means its official. any link with venom from cat bite affecting central nervous system? 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. Mr. H noted a progression of redness and swelling over the past three days, and admitted inconsistent use of the sling. There was minimal pain and bleeding. Dog and cat bites to the hand: treatment and cost assessment. Bula-Rudas FJ, et al. An official website of the United States government. A doctor may give you a tetanus vaccine booster if you havent had a tetanus vaccine in the last 5 years. HHS Vulnerability Disclosure, Help (See also Overview and Evaluation of Hand Disorders Overview and Evaluation of Hand Disorders Common hand disorders include a variety of deformities, ganglia, infections, Kienbck disease, nerve compression syndromes, noninfectious tenosynovitis, and osteoarthritis. for three to five days or one double-strength trimethoprim/sulfamethoxazole tablet b.i.d. An infected cat bite wound will be red, swollen, and painful, and the infection can spread through the surrounding tissues, causing a condition called cellulitis, or through the blood to other areas of the body, causing a condition called septicemia (often called blood poisoning). Sbai MA, et al. Healthline Media does not provide medical advice, diagnosis, or treatment. Small but deep punctures there led to a higher risk of hospitalization than bites into soft tissue, according to the study. 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. In severe cases, surgery may be required to clean out the infected areas. When they bite you, they are essentially injecting bacteria deep into your skins tissue. and In rare cases, these infections can be fatal. Issues related to infectious tenosynovitis will be reviewed here. What are the top 3 benefits of Vitamin E? The treatment of such infections often requires hospitalization, intravenous antibiotic therapy, and operative treatment. Nearly 40% of cat bites may lead to an infection according to one estimate, which supports the extra attention medical professionals often pay to cat bites. Can antioxidants supercharge your brain power? Immediately after the incident, Mr. H. washed his wounds with soap and water, applied antibiotic ointment, and took ibuprofen for pain relief. "Every time they would stitch me up after flushing the wound the infection would just get worse. 1995 Aug;52(2):479-85, 489-90. You can learn more about how we ensure our content is accurate and current by reading our. You may need to be on antibiotics so get medical care. eCollection 2021 Sep. Strwald Y, Erdle B, Busch P, Kalbhenn J, Bansbach J. Anaesthesist. Kanavel's Signs: Cat bite injuries to the hand can progress to serious infection. The warm and dark inner layers of your skin are optimal for the growth of the bacteria. Unlike other animal bites, which can tear flesh and even break bones, these deeper wounds are much harder to clean. The infection resides in synovial or periarticular tissues and is usually bacterialin younger adults read more and osteomyelitis Osteomyelitis Osteomyelitis is inflammation and destruction of bone caused by bacteria, mycobacteria, or fungi. Open cat bite of wrist; Open cat bite wound of neck; Present On Admission. ", SOURCE: Mayo Clinic, news release, Feb. 5, 2014. The average of the participants was 49 years old, and 69 percent were women. It is especially dangerous for a cat to bite the wrist or hand - all places where joints, bones and tendons are close to the surface. 2021 Aug;70(8):639-643. doi: 10.1007/s00101-021-01003-9. If a cat bite breaks your skin, you should seek medical attention if: A cat bite carries a high risk of infection and can be dangerous. Signs and symptoms warranting earlier evaluation (e.g., fever, chills, increasing edema, erythema, numbness, drainage, and pain) were discussed. Plast Reconstr Surg Glob Open. Tendon necrosis and rupture; Hand dysfunction; Amputation; Systemic infection ~75% of cases are associated with antecedent injury. CSD is transmitted when a cat carrying the infection: The following animals are at the highest risk of carrying the infection: Its important to know that CSD is most common in children. Wounds are not closed after initial treatment so that any . "Cats' teeth are sharp and can penetrate very deeply. Ingrid King is an award-winning author, former veterinary hospital manager, and veterinary journalist who is passionate about cats. Results were negative for fracture, dislocation, and lytic or blastic lesions. And your cat loves you (in its own fashion). Please confirm that you are a health care professional. Patients with clenched fist injuries tend to wait hours or days after the wound occurs before seeking medical attention, which increases the severity of the infection. A red area around a cat scratch or bite that continues to get bigger for more than 2 days after the injury. At the hand, where cats most often bite . Any time the skin is punctured, you will experience some level of discomfort, but this initial pain should subside. Cureus is on a mission to change the long-standing paradigm of medical publishing, where submitting research can be costly, complex and time-consuming. If the patient is allergic to penicillin, clindamycin 300 mg orally every 6 hours can be used.

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