Medical Care after Cat Bites: A Typical Case and Review

Abstract

Pet cat bites are commonthe most typical patient being a child, and the most typical locality hands and face. The normal flora of a pet cat’s mouth houses very potent pathogens. Therapeutic measures include wound cleansing, prophylaxis against tetanus and possibly rabies. Antibiotic prophylaxis should be administered in the cases of all but the mildest superficial wounds especially if the wound is in the hand or face. We present a review on the medical care of cat bite wounds and a typical case of a patient who developed rapid symptoms and signs of infection after a pet cat bite and nearly required hospitalization. The clinical picture was consistent with a Pasteurella infection.

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Oksi, J. , Ahlmén-Laiho, U. and Laine, M. (2014) Medical Care after Cat Bites: A Typical Case and Review. International Journal of Clinical Medicine, 5, 340-343. doi: 10.4236/ijcm.2014.56050.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Steele, M.T., Ma, O.J., Nakase, J., Moran, G.J., Mower, W.R., Ong, S., et al. Emergency ID NET Study Group (2007) Epidemiology of Animal Exposures Presenting to Emergency Departments. Academic Emergency Medicine, 14, 398-403. http://dx.doi.org/10.1111/j.1553-2712.2007.tb01797.x
[2] Mitnovetski, S. and Kimble, F. (2004) Cat Bites of the Hand. ANZ Journal of Surgery, 74, 859-862.
http://dx.doi.org/10.1111/j.1445-1433.2004.03189.x
[3] Villar, R.G., Connick, M., Barton, L.L., Meaney, F.J. and Davis, M.F. (1998) Parent and Pediatrician Knowledge, Attitudes, and Practices Regarding Pet-Associated Hazards. Archives of Pediatrics & Adolescent Medicine, 152, 1035-1037. http://dx.doi.org/10.1001/archpedi.152.10.1035
[4] Talan, D.A., Citron, D.M., Abrahamian, F.M., Moran, G.J. and Goldstein, E.J.C. (1999) Bacteriologic Analysis on Infected Dog and Cat Bites. New England Journal of Medicine, 340, 85-92.
http://dx.doi.org/10.1056/NEJM199901143400202
[5] Smith, P.F., Meadowcroft, A.M. and May, D.B. (2000) Treating Mammalian Bite Wounds. Journal of Clinical Pharmacy and Therapeutics, 25, 85-99. http://dx.doi.org/10.1046/j.1365-2710.2000.00274.x
[6] Dire, D.J. (1991) Cat Bite Wounds: Risk Factors for Infection. Annals of Emergency Medicine, 20, 973-979.
http://dx.doi.org/10.1016/S0196-0644(05)82975-0
[7] Love, D.N. (2000) Bacteriological Warfare amongst Cats: What Have We Learned about Cat Bite Infections? Veterinary Microbiology, 74, 179-193. http://dx.doi.org/10.1016/S0378-1135(00)00186-3
[8] Normann, B., Niléhn, B., Rajs, J. and Karlberg, B. (1971) A Fatal Human Case of Pasteurella multocida Septicaemia after Cat Bite. Scandinavian Journal of Infectious Diseases, 3, 251-254.
[9] Esposito, S., Picciolli, I., Semino, M. and Principi, N. (2013) Dog and Cat Bite-Associated Infections in Children. European Journal of Clinical Microbiology & Infectious Diseases, 32, 971-976.
http://dx.doi.org/10.1007/s10096-013-1840-x
[10] Goldstein, E.J. (1992) Bite Wounds and Infection. Clinical Infectious Diseases, 14, 633-638.
http://dx.doi.org/10.1093/clinids/14.3.633
[11] Westling, K., Farra, A., Cars, B., Ekblom, A.G., Sandstedt, K., Settergren, B., et al. (2006) Cat Bite Wound Infections: A Prospective Clinical and Microbiological Study at Three Emergency Wards in Stockholm, Sweden. Journal of Infection, 53, 403-407. http://dx.doi.org/10.1016/j.jinf.2006.01.001
[12] Weber, D.J., Wolfson, J.S., Swartz, M.N. and Hooper, D.C. (1984) Pasteurella multocida Infections. Report of 34 Cases and Review of the Literature. Medicine (Baltimore), 63, 133-154.
[13] Thomas, N. and Brook, I. (2011) Animal Bite Associated Infections: Microbiology and Treatment. Expert Review of Anti-Infective Therapy, 9, 215-226. http://dx.doi.org/10.1586/eri.10.162
[14] Medeiros, I. and Saconato, H. (2001) Antibiotic Prophylaxis for Mammalian Bites. Cochrane Database Systematic Reviews, 2, Article ID: CD001738.
[15] Henton, J. and Jain, A. (2012) Cochrane Corner: Antibiotic Prophylaxis for Mammalian Bites (Intervention Review). Journal of Hand Surgery, 37, 804-806. http://dx.doi.org/10.1177/1753193412452204
[16] Holm, M. and Tärnvik, A. (2000) Hospitalization Due to Pasteurella multocida—Infected Animal Bite Wounds: Correlation with Inadequate Primary Antibiotic Medication. Scandinavian Journal of Infectious Diseases, 32, 181-183.
http://dx.doi.org/10.1080/003655400750045303

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