The microbiology of crocodile attacks in Far North Queensland: implications for empirical antimicrobial therapy

Smith, Simon; Bagshaw, Richard J; Hanson, Josh

doi:10.5694/mja16.01058

Cited by 7 publications

(5 citation statements)

References 3 publications

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“…In tropical Australia, humans are at risk of bites and penetrating injuries from domesticated and wild mammals, venomous and non-venomous snakes, crocodiles, and other marine animals (Smith et al, 2017). These animal encounters frequently occur in remote locations, often several hundreds of kilometres from healthcare, posing an additional challenge even for Australia"s well-resourced healthcare system.…”

Section: Introductionmentioning

confidence: 99%

Animal bite wounds and their management in tropical Australia

Vardanega

Smith

et al. 2022

International Journal of Infectious Diseases

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Section: Introductionmentioning

confidence: 99%

Animal bite wounds and their management in tropical Australia

Vardanega

Smith

et al. 2022

International Journal of Infectious Diseases

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“…A probabilistic large-spectrum antibiotherapy, secondarily adapted to the antibiogram, is necessary. Indeed, the rich and varied oral flora of this animal, made up of aerobic and anaerobic germs, exposes it to infectious complications for which early and adapted management is the only guarantee of success [11,[13][14][15]. In the literature, bi-or tri-antibiotherapy based on cephalosporins, betalactam antibiotics, penicillin, imidazoles, and aminosides are the most reported [4,7,11,13].…”

Section: Discussionmentioning

confidence: 99%

Cranio-cervico-facial injuries due to crocodile bite: a rare observation in Yalgado Ouedraogo University Hospital (Burkina Faso)

Motandi

N'guessan

Millogo

et al. 2022

J Oral Med Oral Surg

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Human aggressions by wild animals are rare but often dramatic. Among the animals that attack humans, the crocodile is singled out by the impressive power of its jaws, which leave very little chance of survival to the victim it manages to grasp. Crocodile bite lesions most often affect the limbs and trunk. Cephalic injuries are exceptional and particularly serious because of the important infectious risks and their usual mortality. The authors report a case of cranio-cervico-facial trauma due to a crocodile bite in a 16-year-old patient with deep soft tissue wounds associated with a fracture of the mandible. Emergency management resulted in a favorable outcome. The report of this case aims to highlight the clinical specificities and the modalities of management of this rare lesion entity in an under medicalized context.

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“…Infections from aquatic animal bite wounds run the gamut from subclinical colonization of bacteria to life-threatening necrotizing fasciitis due to often fastidious organisms. 26 Crocodile bite wounds are also characterized by large amounts of tissue loss and crushing. Comminuted fractures and dismemberment may be anticipated, as well as neurovascular injury.…”

Section: Discussionmentioning

confidence: 99%

A Case Report of a Bite From the Nile Crocodile (Crocodylus niloticus) Managed with Regional Anesthesia

Mbanje

Muguti

Chitiyo

2019

Wilderness & Environmental Medicine

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Crocodile attack injuries plague communities near bodies of water and continue to be an infrequent but significant form of trauma encountered in our medical facility. Regional anesthesia techniques are a novel adjunct to treatment and may facilitate simplified definitive management and better utilization of constrained operating room resources. We report a case of an adult male who presented with a large lower extremity wound after a crocodile bite. The patient was managed with initial debridement and irrigation and serial wound care entirely under regional anesthesia at the bedside. The patient did not develop wound infection, eventually receiving a skin graft with good functional outcomes. Regional anesthesia techniques are increasingly being used in the trauma setting, and their versatility allows for their use in multiple settings, by practitioners with limited experience and in resource-limited environments. No specific guidelines exist for performance of neuraxial techniques in the setting of animal bite injuries, but concerns about infectious complications have been raised. Regional anesthesia techniques may be useful in the management of extremity trauma due to crocodile attacks without infectious complications. They may reduce utilization of theatre resources and reduce opioid requirements.

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The microbiology of crocodile attacks in Far North Queensland: implications for empirical antimicrobial therapy

Cited by 7 publications

References 3 publications

Animal bite wounds and their management in tropical Australia

Animal bite wounds and their management in tropical Australia

Cranio-cervico-facial injuries due to crocodile bite: a rare observation in Yalgado Ouedraogo University Hospital (Burkina Faso)

A Case Report of a Bite From the Nile Crocodile (Crocodylus niloticus) Managed with Regional Anesthesia

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