Type of study/level of evidence: 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). Please confirm that you are a health care professional. Bookshelf Tenderness along the course of a tendon suggests spread to the tendon sheath. Rabies is rare but deadly. "When the cat bites the hand, the joints and tendons are protected with fluid and there is no circulation so bacteria can grow like crazy, making treatment longer in some case.". Cats dont have more bacteria in their mouths than dogs. While five- to nine-year-old males are the. Skin infections, known as cellulitis, can occur quickly after a bite. You should not use this information in place of a consultation or the advice of your healthcare provider. You love your cat. doi: 10.2106/JBJS.OA.21.00084. Watch the area carefully to see if there are signs of damaged nerves or tendons. You should be especially careful if the wound is around your wrist area. The site is secure. Discomfort. Meanwhile, 80 percent of the patients were initially prescribed oral antibiotics, the researchers said. When the bite is on the hand (and other research has shown that up to 85 percent of cat bites occur on the hand or wrist), the puncture may easily pierce a joint or the membrane sheath. Dr. Donnelly is a board certified orthopedic surgeon specializing in injuries and ailments of the hand, wrist, and elbow. The link you have selected will take you to a third-party website. Cat bites and scratches: Sometimes more than just a cut. a tendon lesion or a purulent flexor . These include: If the cat bite is deep, it can damage your tendon(s). HHS Vulnerability Disclosure, Help Epub 2022 Jul 20. 7 Cat Bite Infection Symptoms You Shouldn't Ignore - LoveToKnow According to Poison Control, CSD is usually not serious, but people with weakened immune systems are at risk of developing a more serious infection. Cat bite - what to do with swelling? | Todocat She said because she was uninsured the hospital wrote off some of the bill but she is still making payments. In todays blog post, Dr. Brandon P. Donnelly discusses why the risk of a cat bite infection has become a growing concern. Epidemiology - dog bite: - consider viridans strep, pasteurella multocida, bacteroides, fusobacterium, capnocytophaga; - prophylactic treatment: augmentin / amoxicillin or with allergy ( cipro + clindamycin) The oral flora of humans includes Eikenella corrodens, staphylococci, streptococci, and anaerobes. Before NCI CPTC Antibody Characterization Program. Giant Cell Tumor of Tendon Sheath in Guyon's Canal Causing Ulnar Tunnel Syndrome . . In rare cases, these infections can be fatal. There was minimal pain and bleeding. This includes bites that: [8] Are on the face We've visualized two studie We've visualized the results of a new clinical trial that compared butter, cocon How long does COVID-19 live on Plastic? Infections occur more frequently in cat bites because cats have extremely sharp, pointed teeth that can cause deep puncture wounds. The wrist or any joint in the fingers are usually the. Immediately after the incident, Mr. H. washed his wounds with soap and water, applied antibiotic ointment, and took ibuprofen for pain relief. About half the patients visited an emergency room, while the rest went to their primary-care physician. Prescribing an antibiotic prophylactically has shown to reduce the rate of infection from cat bites. What are are the Differences between Cat and Dog Bites? Bites on the hand are also at a high risk of infection. Animal Bite: Dog Bite vs Cat Bite | The Hand Society Immediately wash the wound under running water. Methods: Felines' sharp teeth can inject harmful bacteria deep into joints and tissue, doctors warn. Bliss 101 Registered User regular. Millions of people are bitten by animals every year, mainly by dogs. There were no signs of infection and no pain. 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. 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. If your cats get into a serious scuffle, use a blanket or sturdy piece of cardboard to try to separate them. Obviously, the best bite is the one that has been prevented. Cat bite: an injury not to underestimate - Taylor & Francis First aid for cat bite - myUpchar Treatment for wrist tendonitis can include rest, icing, anti-inflammatory drugs (NSAIDs), hand therapy, and cortisone injections. Dr. Philip Schwarzman answered. 2006 Nov-Dec;106(6):692-5. doi: 10.1080/00015458.2006.11679983. Wrist tendonitis is irritation and inflammation of the tendons at the wrist joint. 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. Apparently, cats have a bacteria in their saliva that aids in their digestion, which can be lethal if it gets into a human being's blood stream. Introduction. Cat bites are exceptionally dangerous and prone to infection because a cat's needle-like teeth can push bacteria deep into flesh, tendons and joints. Healthline Media does not provide medical advice, diagnosis, or treatment. The best way to know if youre dealing with bedbugs is to look for evidence of them in your home. Weber DJ, Wolfson JS, Swartz MN, Hooper DC. 2005 - 2023 WebMD LLC. Flexor Tenosynovitis Pediatric EM Morsels Infected Bite Wounds of the Hand - Musculoskeletal and Connective However, they can also bite or scratch if spooked or if they get defensive. A doctor or nurse will wash the wound thoroughly, trim away any dead tissue, and apply antibiotic ointment. Kanavel's Signs: The information shared in this article is not a substitute for medical care. Time from bite to presentation, white blood cell count, erythrocyte sedimentation rate, and C-reactive protein values at presentation were not associated with hospitalization. Wrist Tendonitis; DeQuervain's Tendonitis; Carpal Boss; Wrist Fractures; Distal Radius Fracture of the Wrist; Scaphoid Fractures of the wrist . Open cat bite of wrist; Open cat bite wound of neck; Present On Admission. This means that the cat's saliva has a chance to enter the sealed-off areas of joints and tendons, which make a prime breeding ground for the . 2015 Jan;23(1):47-57. doi: 10.5435/JAAOS-23-01-47. any link with venom from cat bite affecting central nervous system? Most domestic cats are already vaccinated against rabies. Mr. H was unsure of the date of his last tetanus shot and reported that the cat is up to date on all immunizations. Part 2 Seek Medical Care for Severe Bites 1 Go to the doctor if your bite is too serious for you to care for it adequately. Wecannot answer individual questions about whether your bite needs medical attention in the comments section. Animal Bite on Finger: Symptoms, Diagnosis & Treatment Options - Healthline Cat bites can also lead to bone infection, and in extreme cases, septic shock, which is a life-threatening condition. 'A cat bite is much worse than a dog or rat bite. The fear is that bacteria from the person's skin or from the cat's or dog's mouth gains access to a part of the body that is like a freeway for the bacteria to spread quickly the tendons. 0. "Every time they would stitch me up after flushing the wound, the infection would just get worse. You can contract cat scratch fever from cats infected with Bartonella henselae bacteria. The information in this post is not a substitute for medical care. Dog and cat bites to the hand: treatment and cost assessment. 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. On physical examination, BP was 118/80, pulse 106, respiratory rate 20 breaths per minute, temperature 99.9F, and pulse oxygenation 98%. They respond aggressively when their home is disturbed, biting and injecting venom. and transmitted securely. 2020 Jul 23;12(7):e9357. Read all about risks and treatment for a cat bite. Delayed presentation of infected cat bites increased the likelihood of more complicated surgeries such as amputation. According to a 2016 case report, cat bites can injure a nerve in rare cases. The skin was warm and dry to touch. A prescription was given prophylactically for amoxicillin (Augmentin) 875 mg one orally b.i.d. Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, a bump or blister where the bite wound is located, inability to use your hand (if your hands been bitten), you start having any serious symptoms of an infection, such as fever, chills, pus or fluid oozing from the wound, or swollen lymph nodes, the cat thats bitten you appears aggressive or acts strangely, the cat thats bitten you is unvaccinated against rabies or youre unsure if the cat is vaccinated against rabies. Current medications included lisinopril 10 mg daily and pravastatin 20 mg daily. Read on to learn more about symptoms and how to prevent bug bites. Cat bite leads to surgery. Why, oh why kitty !?! : r/WTF - reddit Copyright 2023 Haymarket Media, Inc. All Rights Reserved The warm and dark inner layers of your skin are optimal for the growth of the bacteria. 2017 Dr. Brandon P. Donnelly If there is a lot of blood, apply pressure to stop the bleeding. (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. With these locations, it's not hard for a cat to puncture a joint or the layer of membrane that covers a tendon. Diagnosis is made clinically by physical examination and performing various provocative tests depending on the location of the injury. 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. extreme lower back pain after a nasty cat bite that required intravenus antibiotics in the hospital followed up with pain meds and antibiotics antiinflammatory meds, swelling decreasing throbbing pain decreasing, back pain is unbearable. Around 2% of attendances in the emergency department are due to bite injuries, most commonly from dogs, cats, and humans.If left untreated, bites have a high risk of becoming infected.. Cat bites only account for 10-15% of animal bites reported by emergency rooms, but they pose a much greater risk of infection. A doctor may give you a tetanus vaccine booster if you havent had a tetanus vaccine in the last 5 years. Bethesda, MD 20894, Web Policies Hydrocodone (Vicodin) and naprosyn (Naproxen) were also prescribed for pain and inflammation. Small but deep punctures there led to a higher risk of hospitalization than bites into soft tissue, according to the study. We identified 193 patients in a 3-year period between January 1, 2009, and December 31, 2011. There was limited range of motion to the second digit on the right hand (partial flexion). Acta Chir Belg. Keywords: An official website of the United States government. Bookshelf Common pathogens include Pasteurella species, Staphylococcus aureus, streptococci, anaerobes, Capnocytophaga, Moraxella, Corynebacterium, and Neisseria. Common symptoms are localized bone pain and tenderness with constitutional symptoms (in acute read more . Mean length of hospital stay was 3.4 days in Group A, and 9.2 days in Group B, (p < .01). Handchir Mikrochir Plast Chir. Cat-Scratch Disease: Causes, Prevention, and Treatment - familydoctor.org Capillary refill to the upper extremities measured fewer than three seconds. 6. He is currently an Assistant Professor of Orthopedic Surgery at Louisiana State University (LSU) Health Sciences Center. Within a couple of hours the area was in severe pain, swollen, and red. But bewareyour cat can make you sick. HHS Vulnerability Disclosure, Help Yet most animal bites are avoidable: Understanding how to interact with animals, and staying aware of any signals of aggression or fear, are both critically important. A tetanus shot was administered. Once trapped under the skin, these bacteria spread and multiply, causing infection and inflammation (cellulitis) of the surrounding soft tissues. Dont try to capture the cat yourself. . for three to five days or one double-strength trimethoprim/sulfamethoxazole tablet b.i.d. Relatively few bites occur on the leg (9%) suggesting that walking away from a frightened cat may be a good strategy. reported a staggering 28-80 percent cat bite infection rate. Data included patient demographics, anatomical site of injury, microbiology results, method of treatment and surgical outcome. Any time the skin is punctured, you will experience some level of discomfort, but this initial pain should subside. Dog and cat bites. SUNDAY, Feb. 9, 2014 (HealthDay News) -- Cat bites may look less serious than dog bites, but beware: They can cause dangerous infections, particularly when they involve the hand, new research indicates. doi: 10.1097/GOX.0000000000003778. If you have a hand injury and would like to have it evaluated by our areas leading hand specialist, contact us today to schedule an appointment. Small but deep punctures there led to a higher risk of hospitalization than bites into soft tissue, according to the study. We avoid using tertiary references. Cat bites to the hand can cause serious infections, Mayo - MinnPost Psoriatic arthritis. S61.451A - Open bite of right hand, initial encounter - ICD List And while cuts. If you do get a cat bite, youll likely find out pretty quickly if its going to get infected. The family cat lunged at him and bit and scratched his hand. and thats just where most people get bitten by cats. (2021). If left untreated, infections can potentially lead to scarring, tissue loss, or even life threatening sepsis. Cat Bites May Lead to Serious Infections, Hospitalizations The patient was able to return to work. Cat bites with infections can become not only painful, but also red or discolored, and swollen. Copyright 2023 Merck & Co., Inc., Rahway, NJ, USA and its affiliates. A peripherally inserted central catheter line was placed and IV ceftriaxone (Rocephin) administered. As your body works to fight the bacteria in the cat bite, you may develop a fever. Most cat bites are treated with antibiotics, with penicillin being the most commonly used drug. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions. 2021 Sep 9;9(9):e3778. . We cannot answer questions about whether your bite needs medical attention in the comments section. Small but deep punctures there led to a higher risk of hospitalization than bites into soft tissue, according to the study. Uphold CR, Graham MV. 2022 Oct;35(5):498-499. doi: 10.37201/req/009.2022. Numbness, pain and weakness may be symptoms of it. The right arm was placed in a sling for elevation of the extremity. Clinical Guidelines in Family Practice. In most cases, bites that were positioned directly over the wrist or another joint were more likely to result in hospitalization than bites to soft tissue, the researchers said. If youre bitten by a stray, it may be necessary to capture the animal so it can be observed. Ingrid King is an award-winning author, former veterinary hospital manager, and veterinary journalist who is passionate about cats. There are tons of dangerous bacteria flourishing inside a cats mouth. Domestic cat bites are common and are often treated by simple wound care with good outcome. Nine patients (Group B) presented later than 48 hours. If you notice any redness, swelling, discharge from the wound, increasing pain, or difficulty moving the hand, seek emergency care. ", SOURCE: Mayo Clinic, news release, Feb. 5, 2014. Cat bites are typically puncture wounds that penetrate deeply into the skin and underlying tissues [2] with infection rates of up to 50% [4]. 2022 Dec 16;55:e0372-2022. In these cases, the researchers said, the wound should be treated aggressively. This site needs JavaScript to work properly. It can be caused by overuse and repetitive movements like texting, playing video games, or writing. But if an unvaccinated cat has bitten you, you must take the bite seriously. PEP isnt generally needed if the cat isnt showing signs of rabies, but the cat should be monitored for at least 10 days to be sure. Unlike other animal bites, which can tear flesh and even break bones, these deeper wounds are much harder to clean. Two thirds of those hospitalized during the study required surgery to flush out the infection in the wounds and middle-aged women were the most common bite victims. The trusted provider of medical information since 1899, Overview and Evaluation of Hand Disorders, Digital Flexor Tendinitis and Tenosynovitis (Trigger Finger), Last review/revision Apr 2022 | Modified Sep 2022. Avoidance of bites, prompt wound management, and judicious use of antibiotics decrease antimicrobial resistance and infection incidence. The https:// ensures that you are connecting to the doi: 10.7759/cureus.9357. Results were negative for fracture, dislocation, and lytic or blastic lesions. SEE MORE: Symptoms of Infected Cat Bite and Steps To Take For A Cat Bite. Immunocompromised people are at a higher risk of developing a severe infection from these bacteria. Cat Bite, extreme pain, swelling, numbess | Pet - Steady. Health del Mar Amador M, et al. Cat and dog bites. Dr. Brandon P. Donnelly | Board Certified Orthopedic Surgeon. in New Orleans, where he was awarded the Orthopedic Surgery award. "The infection from the cat bite reached my tendon," Bothun said. The patients involved in the study were all bitten on the hand. Therapeutic III. A small puncture wound, particularly from a human or cat bite, may involve significant injury to the tendon, joint capsule, or articular cartilage. Cureus is on a mission to change the long-standing paradigm of medical publishing, where submitting research can be costly, complex and time-consuming. Acute Hand Infections | AAFP Bothun said she still feels pain in her wrist and does not have full movement. During a bite, a cat's tooth might also transfer pathogens commonly found on human skin ( Staphylococcus and Streptococcus) into underlying tissues, creating a "cocktail" of bacterial contamination. A cat bite on the hand can turn into a hospital stay, according to a new study. [Hyatt, 2017] Patients often present 2-5 days after an injury. A three-year Mayo Clinic study 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. Erythema and pain localized to the bite suggest infection. MeSH terms Adult Aged This virus is almost always fatal when untreated, but its extremely rare. At six-weeks postoperative, Mr. H had full range of motion and increased strength in the right hand. o [teenager OR adolescent ], , MD, Perelman School of Medicine at the University of Pennsylvania.
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