An unusual dog bite in an infant with penetrating brain injury and scalp loss

Shah, Sheerin; Bansal, Hanish; Mittal, Rita; Chaudhary, A.K.; Uppal, S. K.; Garg, Ramneesh; Rafique, Soheb; Singh, Jagminder

doi:10.4103/tjps.tjps_52_18

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“…A complete physical examination should be carried out, with examination of the wound preferably under anesthesia, especially in children due to the possibility of associated injuries, airway, arteries, eyes, cervical spine and skull fractures 10 . In the study we also found that if the primary closure of dog bites is safe, there is little risk of presenting infections and they provide better cosmetic results, as described in the literature [11][12] . Dog bites continue to play an important role among the pathologies of this age group and, taking into account that they are preventable, we consider it vital to make the population aware of risk situations, the most possible mechanisms of injury and the ages that have a higher risk.…”

Section: Discussionmentioning

confidence: 77%

Experience in the management of injuries from dog bite in the plastic and reconstructive surgery service at the general hospital of Zacatecas

Barajas-Puga¹,

Manzanares-Espinosa²,

López-Giacoman³

2022

HGMX

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Background: Dog bite wounds are a public health problem present in our environment. We find them from superficial wounds to large wounds with devitalization and significant loss of tissues, in addition to presenting complications such as infections, aesthetic and functional sequelae that require specialized surgical treatment. Objective: To describe the experience of 3 years in the management of dog bite wounds in the plastic and reconstructive surgery service at the General Hospital of Zacatecas "Luz González Cosío". Methods: A retrospective study was carried out in which all the records of patients with dog bite wounds between March 2018 and February 2021 were included. The variables collected were sex, age, anatomical location, characteristics of the wound, and therapeutic management. Results: A total of 27 patients were obtained. 70.3% of the injuries occurred in children under 15 years of age. The most frequent location was the face and skull (44.4%). In 22 cases they were resolved only with cleaning, surgical debridement and primary closure. In 5 cases (18.6%) some specialized reconstructive process was required, 18.6% of the patients were hospitalized. All patients received antibiotic treatment (Amoxicillin/Clavulanic acid). Conclusions: Complex wounds should be managed in a second or third level center with plastic and reconstructive surgery. Timely management of dog bite wounds improves the prognosis of patients. Most dog bite wounds can be treated with surgical grooming, debridement, and primary closure.

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Section: Discussionmentioning

confidence: 77%