Review: The Cat in the Window And Other Stories of the Cats We Love. While 3-18 percent of dog bites become infected, another study reported a staggering 28-80 percent cat bite infection rate. 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. Time from bite to presentation, white blood cell count, erythrocyte sedimentation rate, and C-reactive protein values at presentation were not associated with hospitalization. A more serious infection may lead to pus or what looks like red streaks down your skin and may cause fever. He described severe nonradiating pain to his right hand and second digit unrelieved by Vicodin or Naprosyn. Cat bite: an injury not to underestimate. Brandon P. Donnelly, MD When To Worry The wrist or any joint in the fingers are usually the worst places to be wounded - and that's just where most people get bitten by cats. There was full range of motion in the right wrist and all other digits of the right hand. The pain was markedly worse during second-digit flexion attempts or when pressure was applied. Of these, 78% (n = 7) underwent multiple operations secondary to septic arthritis, osteomyelitis, necrotising fasciitis and deep collection. 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. "I washed the wounds on my wrist and put antiseptic on them," Bothun said. Dr. Brandon P. Donnelly is a native of Slidell, LA. Keywords: The drug of choice is amoxicillin/clavulanate 875 mg/125 mg b.i.d. Millions of people are bitten by animals every year. But if an unvaccinated cat has bitten you, you must take the bite seriously. There is not very much bloodflow to the tendon sheath. This site needs JavaScript to work properly. Domestic cat bites are common and are often treated by simple wound care with good outcome. Identifying Bug Bites and Stings, and How To Treat Them. Relatively few bites occur on the leg (9%) suggesting that walking away from a frightened cat may be a good strategy. Bethesda, MD 20894, Web Policies You need to remove the . All patients recently treated at our institution for cat bite injuries to the hand were retrospectively reviewed. Results: left hand was severely bitten by a cat that animal control brought in. eCollection 2022. J Am Acad Orthop Surg. First, be sure to clean the wound. Healthline Media does not provide medical advice, diagnosis, or treatment. Even though they dont look like much, a cats pinpoint bite marks can inject bacteria deeply into skin and joints, opening the door for a serious infection. The average length of stay for these patients was 3.2 days. Complications were common among these patients. . 2017 Dr. Brandon P. Donnelly Enter search terms to find related medical topics, multimedia and more. North East Kingdom's Best Variety super motherload guide; middle school recess pros and cons; caribbean club grand cayman for sale; dr phil wilderness therapy; adewale ogunleye family. I still have a small bump from a cat that bit my hand around twenty-five years ago. A small puncture wound, particularly from a human or cat bite, may involve significant injury to the tendon, joint capsule, or articular cartilage. An official website of the United States government. Symptoms include not only pain, but also numbness and paresthesia. MeSH terms Adult Aged Here's what you need to know. Almost 40% of cases had flexor tendon sheath infection of the fingers. 2021 Nov 1;71:102993. doi: 10.1016/j.amsu.2021.102993. 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. in New Orleans, where he was awarded the Orthopedic Surgery award. Cat bites with infections can become not only painful, but also red or discolored, and swollen. Wrist Tendonitis; DeQuervain's Tendonitis; Carpal Boss; Wrist Fractures; Distal Radius Fracture of the Wrist; Scaphoid Fractures of the wrist . The right arm was placed in a sling for elevation of the extremity. There is a remarkable amount of research around cat bites. Victims should be especially concerned about the risk of a cat bite infection if they develop swelling or inflamed skin. At the hand, where cats most often bite . Cat bites only account for 10-15% of animal bites reported by emergency rooms, but they pose a much greater risk of infection. Briefly, infected bites will often appear red and swollen. The second digit was warm to touch, red, and swollen. There are a few people, that develop severe allergic reactions to flea bites and can get irritated by a single bite. doi: 10.1097/GOX.0000000000003778. While all bites carry bacteria, your body manages to fend off most infections from dog bites. Sources: Babovic N, Carlsen BT, Cayci C. Cat Bite Infections of the Hand: Assessment of Morbidity and Predictors of Severe Infection. Mean length of hospital stay was 3.4 days in Group A, and 9.2 days in Group B, (p < .01). 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 index finger was the most common site of injury (45%). Stay away from stray or feral cats. Two-third of those hospitalized needed surgery. J Hand Surg Am. Its not something you want to take any chances with. Animal bites usually contain multiple potential pathogens, including Pasteurella multocida (particularly in cat bites), staphylococci, streptococci, and anaerobes. Thirty percent (n = 57) of patients with cat bites to the hand were hospitalized. Nerve injury: It's possible for the nerves to be damaged when a cat bites you. for three to five days or one double-strength trimethoprim/sulfamethoxazole tablet b.i.d. 1. This virus is almost always fatal when untreated, but its extremely rare. Cat bites are about twice as likely as dog bites to get infected. This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization. In fact, a 2013 research review showed that Pasteurella is the most common organism isolated from both cat and dog bites. Brian Carlsen, a researcher on the study and orthopedic surgeon at Mayo Clinic, said cat's fangs penetrate the skin and push bacteria deep into joints and tissue, causing infection. How long after a cat bite does infection set in? Please enable it to take advantage of the complete set of features! Animal bites that dont break your skin, as well as scratches that just graze the surface of your skin, have a minimal risk of infection. If the cat is healthy after 10 days, there is no risk to the person who was bitten. The .gov means its official. Epub 2019 Jul 9. 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. Federal government websites often end in .gov or .mil. 8600 Rockville Pike If the bite or scratch hasn't penetrated the skin, the chance of infection is minimal. 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). Follow-up evaluation should focus on early detection and diagnosis of tenosynovitis, septic arthritis, and osteomyelitis. A doctor or nurse will wash the wound thoroughly, trim away any dead tissue, and apply antibiotic ointment. Wrist tendon pain usually goes away with rest, medication, injections or splinting. If you have some antibiotic cream such as neosporin, apply it. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 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. FOIA It was strongly advised that the patient follow up the next day, but Mr. H declined. Theres also the risk that a cats teeth will break off during a bite and need to be extracted. Cat bite - what to do? Another 154 were treated with oral antibiotics as outpatients, although 21 of them eventually had to be hospitalized. Plast Reconstr Surg Glob Open. According to Poison Control, CSD is usually not serious, but people with weakened immune systems are at risk of developing a more serious infection. And your cat loves you (in its own fashion). No fevers, chills, increased redness, or swelling was noted. FOIA Keywords: 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. The site is secure. The puncture hole can quickly seal over and trap bacteria from the cats mouth under your skin. Acta Chir Belg. Another SOLID Site, WALANT | Wide Awake Local Anesthesia No Tourniquet. Cat bite infections of the hand: assessment of morbidity and predictors of severe infection. [Polymicrobial osteomyelitis on the limb of the hand after a cat bite]. 2005 - 2023 WebMD LLC. What to do? If you notice any redness, swelling, discharge from the wound, increasing pain, or difficulty moving the hand, seek emergency care. 2002 Jan;34(1):22-9. doi: 10.1055/s-2002-22103. Cat bites are typically puncture wounds that penetrate deeply into the skin and underlying tissues [2] with infection rates of up to 50% [4]. To care for your wound at home, follow these steps: If the following symptoms occur, seek medical attention: If you have a pet cat, make sure to take them to regular veterinary visits to stay updated on vaccines. You may need to be on antibiotics so get medical care. Dog and cat bites to the hand: treatment and cost assessment. 4th ed., Gainesville Fla.: Barmarrae Books; 2003. 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. 28 Dog bites cause approximately 0.4 percent of emergency department visits and account for 60. Nine patients (Group B) presented later than 48 hours. Tetanus is a serious infection caused by a bacterium called Clostridium tetani. Within a couple of hours the area was in severe pain, swollen, and red. Dog bites take about twice as long to set in. Extensor Tendon Injuries are traumatic injuries to the extensor tendons that can be caused by laceration, trauma, or overuse. 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. Brought to you by Merck & Co, Inc., Rahway, NJ, USA (known as MSD outside the US and Canada) dedicated to using leading-edge science to save and improve lives around the world. Copyright 2023 Merck & Co., Inc., Rahway, NJ, USA and its affiliates. If you have been bitten by a cat, seeyour doctor or visit anurgent care facility. Cat-scratch disease in the United States, 20052013. Watch the area carefully to see if there are signs of damaged nerves or tendons. Close more info about Pain, tingling, and limited range of motion after a cat bite to the finger, Lori L. Henderson, DNP-c, MSN , APNP-BC, and Teri Kaul, PhD, APRN, Botched cryotherapy procedure leads to painful bullous lesion. [Hyatt, 2017] PFT is a clinical diagnosis!! A cat bite is quite common and should always be treated by a doctor. But remember, if you are bitten, prompt medical care is required to prevent serious, even long-term complications from a cat bite infection. The bites can even be so deep that they damage a victim's nerves, tendons and . 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). Last medically reviewed on March 22, 2021. Learn about symptoms in cats and humans, and get facts on. Please note that by doing so you agree to be added to our monthly email newsletter distribution list. Copyright 2014 American Society for Surgery of the Hand. 2020 Jun 3;8(6):838. doi: 10.3390/microorganisms8060838. reported a staggering 28-80 percent cat bite infection rate. 2006 Nov-Dec;106(6):692-5. doi: 10.1080/00015458.2006.11679983. Osteomyelitis following domestic animal bites to the hand: Two case reports and practical guidelines. [Sepsis after cat bite-How medical history, physical examination and interdisciplinary cooperation influence disease progression]. By clicking Subscribe, I agree to the WebMD, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Smoking Pot Every Day Linked to Heart Risks, Artificial Sweetener Linked to Heart Risks, FDA Authorizes First At-Home Test for COVID and Flu, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox. Dawn Bothun, of Minnesota said a bite on her hand turned into an eight-week hospital ordeal and $150,000 in medical bills. Although cats have no more germs in their mouths than dogs or people, researchers at the Mayo Clinic found that when cats bite, their sharp teeth can inject hard-to-treat bacteria deeply into. It can be caused by overuse and repetitive movements like texting, playing video games, or writing. These findings should increase concern for a severe infection and warrant hospitalization and urgent consultation with a hand surgeon. Uphold CR, Graham MV. Most cat bites are treated with antibiotics, with penicillin being the most commonly used drug. Published by Elsevier Inc. All rights reserved. Never try to separate cats who are fighting. 20 . Read More, The Conscious Cat Product Guide features all of the best products for cats and cat lovers. Frost Bite most commonly injures your ears and nose. Cat bite victims sometimes must have their wounds surgically irrigated or even have infected tissue removed, a procedure called debridement. Numbness, pain and weakness may be symptoms of it. Mr. Hs right-hand wounds were cleansed with antibacterial soap, betadine wash, and sterile water rinse.

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