cat bite wrist tendon

20 . left hand was severely bitten by a cat that animal control brought in. To assess the overall morbidity of cat bites to the hand and identify risk factors for hospitalization after such an injury. Report of 34 cases and review of the literature. In cat bite wounds, they are followed by Streptococci, Staphylococci, Neisseria and Moraxella spp. There was minimal pain and bleeding. Emergency Medicine 46 years experience. While the kitten grabbing at your hand and biting your fingers may be adorable, it wont be so adorable anymore when he has grown into an adult cat. They may take a culture swab to help identify the type of bacteria causing the infection. Rev Soc Bras Med Trop. Mr. H was diagnosed with a septic joint, scheduled for incision and drainage, and admitted to the hospital overnight for observation. Mr. Hs right-hand wounds were cleansed with antibacterial soap, betadine wash, and sterile water rinse. "When my grandkids come over I don't let him around them, because things happen.". sharing sensitive information, make sure youre on a federal Cat bites with infections can become not only painful, but also red or discolored, and swollen. of dog bites, middle-aged women were the most common victims of cat bites to the hand, according to the Mayo Clinic study. Nerve injury: It's possible for the nerves to be damaged when a cat bites you. Not all cat bites lead to infection, but enough do to warrant caution. Cat bites need to be taken seriously and carefully evaluated by doctors, the study authors said. Misunderstanding this risk has led to a worrying number of hospitalizations, as patients require surgery to clean wounds or remove tissue thats become infected. I now fear joint or bone or tendon . There was full range of motion in the right wrist and all other digits of the right hand. National Library of Medicine Cats dont have more bacteria in their mouths than dogs. Practical Review of the Management of Animal Bites. A regular cat bite that just breaks the skin isn't really anything to worry about. INTRODUCTION. Please note that by doing so you agree to be added to our monthly email newsletter distribution list. Cats bite mostly on hands, arms or legs. In these cases, the researchers said, the wound should be treated aggressively. Would you like email updates of new search results? (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. 2004 Oct;74(10):859-62. doi: 10.1111/j.1445-1433.2004.03189.x. Therapeutic III. Pulling away, Mr. H fell back and landed on a coffee table with his open right hand hyperextended. Capillary refill to the upper extremities measured fewer than three seconds. Cat bites are about twice as likely as dog bites to get infected. But if an unvaccinated cat has bitten you, you must take the bite seriously. Uphold CR, Graham MV. Infections occur more frequently in cat bites because cats have extremely sharp, pointed teeth that can cause deep puncture wounds. According to a 2018 research review, infection occurs in about 50 percent of cat bites in children. Bacteria can be potentially seeded down into joints and tendon sheaths, far away from where it would be immediately noticed. Which means there are very few white blood cells to fight the bacteria, and they have an easy time infecting your tendon cells. An official website of the United States government. The Conscious Cat is a comprehensive resource for conscious living, health and happiness for cats and their humans. 8600 Rockville Pike 1. Bleeding may help flush out any bacteria that may have gotten into the wound. Human and animal bites. Dry the bite first, to help the Band Aid stick. 2019 Dec;53(6):341-346. doi: 10.1080/2000656X.2019.1637750. Bookshelf This is particularly true when patients develop inflamed skin and swelling. 4th ed., Gainesville Fla.: Barmarrae Books; 2003. Mr. H was unable to perform full flexion of the second digit. Cat bites may look small, but they can turn into serious problems. All rights reserved. Pasteurella multocida is the most common isolated pathogen transmitted from cats.2 The animals long and sharp canine teeth penetrate the skin, causing deep puncture wounds and providing an avenue for the induction of bacteria. Bula-Rudas FJ, et al. Issues related to infectious tenosynovitis will be reviewed here. This includes bites that: [8] Are on the face (2016). Results: Prescribing an antibiotic prophylactically has shown to reduce the rate of infection from cat bites. What is the potential risk associated with cat bites? Cat bites only account for 10-15% of animal bites reported by emergency rooms, but they pose a much greater risk of infection. The best way to know if youre dealing with bedbugs is to look for evidence of them in your home. Hand or wrist infection; cat bites; delayed treatment; diabetic finger; finger amputation; public awareness. for three to five days. Read more about types of bites, symptoms, and treatments. 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. Cat and dog bites. With these locations, it's not hard for a cat to puncture a joint or the layer of membrane that covers a tendon. But remember, if you are bitten, prompt medical care is required to prevent serious, even long-term complications from a cat bite infection. Bats are one of the most common carriers of rabies. Dog or cat bites to the hands are the most severe injuries, often requiring surgical intervention and hospitalization.1 Infectious complications occur in approximately 50% of cat bites whereas with dog bites, the overall estimated infection rate is 2% to 20%. The CDC says that the incubation period for rabies (time between exposure and the appearance of symptoms) can be weeks to months. It may be painful or tender when touched or pressed. Multiple scratch wounds of various lengths across the dorsum of the right hand were nondraining and erythematous. However, delayed presentation may lead to significant morbidity or even mortality. In the study, researchers identified 193 Mayo Clinic patients with cat bites to the hand from January 1, 2009, through 2011. These red streaks are from the infection traveling down your lymph system. 2022 Oct;35(5):498-499. doi: 10.37201/req/009.2022. How long after a cat bite does infection set in? Diabetic fingers with established peripheral neuropathy were more likely to undergo amputation. doi: 10.1097/GOX.0000000000003778. Give them time to calm down before approaching them. Most domestic cats are already vaccinated against rabies. Two-third of those hospitalized needed surgery. No fevers, chills, increased redness, or swelling was noted. Disclaimer. It can happen even with the most loving, docile cat: an overexcited cat nips her guardian while playing, or accidentally bites her guardians finger while accepting a treat. There are tons of dangerous bacteria flourishing inside a cats mouth. 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. MeSH 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. In fact, a 2013 research review showed that Pasteurella is the most common organism isolated from both cat and dog bites. 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. A small puncture wound, particularly from a human or cat bite, may involve significant injury to the tendon, joint capsule, or articular cartilage. Through this website and links to other websites, Brandon P. Donnelly, MD provides general information for educational purposes only. The hand should be splinted in the functional position and elevated. Protected from the immune system, a cat bite infection can rapidly spread. The subjects were 18 females and two males aged 27-86 years (mean age of 58 years). Animal bites usually contain multiple potential pathogens, including Pasteurella multocida (particularly in cat bites), staphylococci, streptococci, and anaerobes. Musculoskeletal and Connective Tissue Disorders, Amoxil, Dispermox, Moxatag, Moxilin , Sumox, Trimox, Biocef, Daxbia , Keflex, Keftab, Panixine, Cleocin, Cleocin Ovules, Cleocin Pediatric, Cleocin T, CLIN, Clindacin ETZ, Clindacin-P, Clinda-Derm , Clindagel, ClindaMax, ClindaReach, Clindesse, Clindets, Evoclin, PledgaClin, XACIATO, Acticlate, Adoxa, Adoxa Pak, Avidoxy, Doryx, Doxal, Doxy 100, LYMEPAK, Mondoxyne NL, Monodox, Morgidox 1x, Morgidox 2x , Okebo, Oracea, Oraxyl, Periostat, TARGADOX, Vibramycin, Vibra-Tabs. Physical examination findings of erythema and swelling at presentation were also associated with increased risk of hospitalization. ", SOURCE: Mayo Clinic, news release, Feb. 5, 2014. Recovery could take four to six months. 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. The most common symptoms of infection from a cat bite include: More serious symptoms of a cat bite infection include: You should also seek medical treatment as soon as possible if you start to experience these more serious symptoms. Domestic animals, like dogs and cats, are responsible for the majority of animal bites. (2016). In the case of dogs and cats, thats not always the case. PMC A doctor will decide if the wound needs stitches or surgery to heal properly. This then causes the wound to potentially close up around the bacteria, which can lead to an infection. And your cat loves you (in its own fashion). They respond aggressively when their home is disturbed, biting and injecting venom. doi: 10.1590/0037-8682-0372-2022. Wrist tendonitis is irritation and inflammation of the tendons at the wrist joint. 2021 Sep 9;9(9):e3778. Published in February in the Journal of Hand Surgery the study looked at 193 patients who received treatment for a cat bite on the hand from January 2009 through 2011. Stress the importance of immediately washing the wound with antiseptic solution and water and seeking immediate evaluation. Rapidly Progressive Infection of Hand After a Cat Bite. The most common cause of human bites is a tooth-induced injury to the metacarpophalangeal joint as a result of a punch to the mouth (clenched fist injury). First, be sure to clean the wound. official website and that any information you provide is encrypted Does the amount of Vitamin D you have affect your odds of getting multiple sclerosis? Adult cats bite out of fear, to assert dominance, or to demand attention. 2006 Mar;31(3):468-73. doi: 10.1016/j.jhsa.2005.12.011. "The bites lead to serious infections that can require multiple hospitalizations, antibiotics and sometimes surgery," Carlsen said. If you cant capture the cat, you might need to start rabies vaccination as a precaution. 20 The trial was terminated because of high rates of infection with wound care alone (47%). 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 . Copyright 2023 Haymarket Media, Inc. All Rights Reserved When cats do bite, the majority of the time it's a bite on the hand or the wrist. Psoriatic arthritis. eCollection 2021 Sep. Strwald Y, Erdle B, Busch P, Kalbhenn J, Bansbach J. Anaesthesist. An infectious disease consultation was ordered. Although the diagnosis of infected bite wounds of the hand is clinical, x-rays should be taken to detect fracture or teeth or other foreign bodies that could be a nidus of continuing infection. 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. Briefly, infected bites will often appear red and swollen. Conclusions: Pasteurella multocida infections. "Cats' teeth are sharp and can penetrate very deeply. 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. 2022 Feb 23;14(5):867. doi: 10.3390/polym14050867. Noninfected bite wounds may require surgical debridement and prophylaxis with 50% of the dose of antibiotic used to treat infected wounds. J Hand Surg Am. Cat bite victims sometimes must have their wounds surgically irrigated or even have infected tissue removed, a procedure called debridement. After receiving his medical degree fromLouisiana State University (LSU) Health Sciences Center in New Orleans, where he was awarded the Orthopedic Surgery award. Unable to load your collection due to an error, Unable to load your delegates due to an error. and Wash the wound thoroughly with soap and water and cover with a sterile bandage. These findings should increase concern for a severe infection and warrant hospitalization and urgent consultation with a hand surgeon. The puncture hole can quickly seal over and trap bacteria from the cats mouth under your skin. He graduated magna cum laude with a degree in biological sciences from.

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