Dr. Brandon P. Donnelly | Board Certified Orthopedic Surgeon. A continued decrease in range of motion of the second digit was demonstrated at the two-week follow-up, but the pain was significantly improved. Dawn Bothun, of Minnesota said a bite on her hand turned into an eight-week hospital ordeal and $150,000 in medical bills. At six-weeks postoperative, Mr. H had full range of motion and increased strength in the right hand. In severe cases, surgery may be . Can antioxidants supercharge your brain power? government site. Check for signs such as bruising, punctured skin, bleeding, and objects stuck in the wound. Rabies is rare but deadly. o [teenager OR adolescent ], , MD, Perelman School of Medicine at the University of Pennsylvania. The skin was warm and dry to touch. Cat And Dog Bites. What To Do?: Guidelines for the treatment of cat and Reasons Why Cats Bite and How to Stop It - The Spruce Pets Bacteria can be potentially seeded down into joints and tendon sheaths, far away from where it would be immediately noticed. Cat and dog bites. The treatment of such infections often requires hospitalization, intravenous antibiotic therapy, and operative treatment. Bites that appear at first to be minor can ultimately end up requiring serious medical attention, with outcomes far worse than an apparently more damaging dog bite. The https:// ensures that you are connecting to the Hand and Wrist Injuries: Part II. Emergent Evaluation | AAFP The content provided in this website and links, is not a substitute for medical care or treatment. Are cat bites and cat scratches really that scary? : r/cats - reddit Cat scratch disease (CSD) (also known as cat scratch fever) is an infection caused by the bacteria Bartonella henselae. Infection in these tissues can be very painful and difficult to treat. 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. Unauthorized use of these marks is strictly prohibited. When cats bite: One in three patients bitten in hand hospitalized Joint spaces were preserved, and bony structures were in good alignment. - The management of bite wounds in children--A retrospective analysis at a level I trauma centre . Tendinitis - WebMD Eikenella corrodens is often seen with human bite injuries and Pasteurella multocida is seen with dog and especially cat bite wounds. MeSH 4th ed., Gainesville Fla.: Barmarrae Books; 2003. The skin on the second digit of the right hand showed significant edema and erythema circumferentially (Figure 1). While five- to nine-year-old males are the. . Data included patient demographics, anatomical site of injury, microbiology results, method of treatment and surgical outcome. Guidelines for the treatment of cat and dog bites in humans. There was full range of motion in the right wrist and all other digits of the right hand. You should also teach children how to properly handle pets and to make sure they arent doing anything to unintentionally hurt or scare a cat. Cat bite: an injury not to underestimate - Taylor & Francis Risk factors associated with hospitalization included smoking, immunocompromised state, and location of bite over a joint or tendon sheath. Symptoms include not only pain, but also numbness and paresthesia. Follow-up evaluation should focus on early detection and diagnosis of tenosynovitis, septic arthritis, and osteomyelitis. Keywords: (2017). Erythema and pain localized to the bite suggest infection. Clinical Guidelines in Family Practice. Review: The Cat in the Window And Other Stories of the Cats We Love. 2021 Aug;70(8):639-643. doi: 10.1007/s00101-021-01003-9. Watch the area carefully to see if there are signs of damaged nerves or tendons. cat bite wrist tendon - moo92.com Source: Bacteriologic Analysis of Infected Dog and Cat Bites. And while cuts. Terms of Use. If the cat's tooth reached your finger's tendon, it can be very difficult for your body to beat the infection. Dont use harsh disinfectants or chemicals to clean the wound, as they may harm tissue and slow down healing. [Polymicrobial osteomyelitis on the limb of the hand after a cat bite]. 2022 Oct;35(5):498-499. doi: 10.37201/req/009.2022. 2020 Jun 3;8(6):838. doi: 10.3390/microorganisms8060838. Emergency Medicine 46 years experience. The patient was switched to cefuroxime (Ceftin) 500 mg b.i.d. "They can be very serious. Relatively few bites occur on the leg (9%) suggesting that walking away from a frightened cat may be a good strategy. Diagnosis of Ligament and Tendon Conditions in Cats Cat bite victims sometimes must have their wounds surgically irrigated or even have infected tissue removed, a procedure called debridement. in New Orleans, where he was awarded the Orthopedic Surgery award. We do not control or have responsibility for the content of any third-party site. Cat Bites Could Lead to Infection: What to Know - Kittentoob Cat bite injuries to the hand can progress to serious infection. S61.451A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. First aid for cat bite - myUpchar Why Cats Bites Can Cause Serious Injury to Humans | Reston Now A. 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. These red streaks are from the infection traveling down your lymph system. Discharge instructions and wound-care handouts were provided. In cat bite wounds, they are followed by Streptococci, Staphylococci, Neisseria and Moraxella spp. Avoidance of bites, prompt wound management, and judicious use of antibiotics decrease antimicrobial resistance and infection incidence. 2006;31:468-473. It is especially dangerous for a cat to bite the wrist or hand - all places where joints, bones and tendons are close to the surface. The Conscious Cat is a comprehensive resource for conscious living, health and happiness for cats and their humans. Through this website and links to other websites, Brandon P. Donnelly, MD provides general information for educational purposes only. government site. Acute carpal tunnel syndrome of the hand following a cat bite. Dr. Brandon P. Donnelly is a native of Slidell, LA. Noninfected bite wounds may require surgical debridement and prophylaxis with 50% of the dose of antibiotic used to treat infected wounds. (2016). Cat Bite Injuries to Humans | VCA Animal Hospital National Library of Medicine Educating the patient about the importance of early management and immediate follow-up can reduce the risk of adverse sequelae and the potential costs of hospitalization and post-bite management. Learn about symptoms in cats and humans, and get facts on. The 2023 edition of ICD-10-CM S61.451A became effective on October 1, 2022. You can contract cat scratch fever from cats infected with Bartonella henselae bacteria. Do not allow kittens and young cats to play with your hands. There are tons of dangerous bacteria flourishing inside a cats mouth. If you dont know the rabies status of the animal, try to locate it and call animal control. Cathrombosis: Deep Vein Thrombosis After a Cat Bite - A Case Report (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. Pain worsening significantly with motion suggests infection of a joint or tendon sheath. I still have a small bump from a cat that bit my hand around twenty-five years ago. - dog bite: - consider viridans strep, pasteurella multocida, bacteroides, fusobacterium, capnocytophaga; - prophylactic treatment: augmentin / amoxicillin or with allergy ( cipro + clindamycin) Before Felines' sharp teeth can inject harmful bacteria deep into joints and tissue, doctors warn. If you do get a cat bite, youll likely find out pretty quickly if its going to get infected. PMC Dog and cat bites to the hand: treatment and cost assessment. Cat bite - what to do with swelling? | Todocat This data suggests that a lot of cat bites come when petting or interacting with cats. Cat bite; animal bite; infection. In fact, the infection rate from a cat bite is fairly high. Epub 2022 Jul 20. If the patient is allergic to penicillin, clindamycin 300 mg orally every 6 hours can be used. Results: We identified 193 patients in a 3-year period between January 1, 2009, and December 31, 2011. Extensor Tendon Injuries - Hand - Orthobullets For 14 percent of these patients, outpatient treatment with antibiotics didn't work and they needed to be hospitalized. According to the Centers for Disease Control and Prevention (CDC), there are only 1 to 3 cases in the United States each year. Serious complications include infectious arthritis Acute Infectious Arthritis Acute infectious (septic) arthritis is a joint infection that evolves over hours or days. "Never doubt that a small group of thoughtful, committed citizens can change the world. Cats carry many bacteria in their mouths capable of causing infections in bite wounds. Arnica, a homeopathic remedy, can help prevent bruising, and Ledum can help prevent infection. Cat bites to the hand are so dangerous, 1 in 3 patients with such wounds had to be hospitalized, a Mayo Clinic study covering three years showed. . If the cat who bit you was not current on his rabies vaccination or was a stray with unknown vaccination status, you may need to undergo prophylactic treatment for rabies. Lesions caused by human and domestic and wild animal bites. In todays blog post, Dr. Brandon P. Donnelly discusses why the risk of a cat bite infection has become a growing concern. Enechukwu AOM, Bucher F, Dastagir K, Jokuszies A, Vogt PM, Knneker S. Ann Med Surg (Lond). for two weeks. He graduated magna cum laude with a degree in biological sciences fromCornell University. Though these injuries are typically not life-threatening. The condition can cause pain when you grip and lift objects or move your wrist or fingers. Sbai MA, et al. Nelson CA, et al. If you have been bitten by a cat, seeyour doctor or visit anurgent care facility. When a cat lands on the ground incorrectly after jumping, the ligaments and tendons are at risk of tearing, rupturing or breaking down over time. Dog and cat bites to the hand: treatment and cost assessment. 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. Therefore, its important to get an infection from a cat bite treated. Deep puncture wounds from animal bites become morbid if not promptly tended and closely followed. (2014). Wecannot answer individual questions about whether your bite needs medical attention in the comments section. Painful and swollen lymph nodes for more than 2 or 3 weeks. Conscious Cat is reader-supported. 1. Stay away from stray or feral cats. Cat bites create narrow, deep puncture wounds. 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. Cat bites are serious! However, play it safe by washing the area thoroughly with soap and water. . 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. Mr. H, age 45 years, presented to the clinic following a cat bite to his right hand 14 hours prior. Within a couple of hours the area was in severe pain, swollen, and red. (2021). Not surprising to most who have owned a cat(s), your author included, cat bites most often end up on the hands and arms. 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). 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. Infectious tenosynovitis - UpToDate Issues related to infectious tenosynovitis will be reviewed here. The second digit of the right hand was mildly edematous with five nondraining puncture wounds noted: two puncture wounds located between the proximal interphalangeal (PIP) and metacarpophalangeal joint of the second digit and three on the palmar aspect of the right hand. Does the amount of Vitamin D you have affect your odds of getting multiple sclerosis? . Can Vitamin E protect against heart disease. Animal bites on your hand and fingers are common, especially from pets like dogs and cats. BP was 120/78 mm Hg, pulse 98 beats per minute, pulse oxygenation 97%, temperature 98.8F, and weight 290 lbs. The bites can even be so deep that they damage a victim's nerves, tendons and . The patient appeared ill and uncomfortable. Lim JS, et al. We avoid using tertiary references. What are the top 3 benefits of Vitamin E? Cat Scratch Fever: See Your Doctor + Find Natural Relief - Dr. Axe A dogs powerful jaws and blunt teeth tend to leave a larger wound, but they dont penetrate as deeply. Cat Bites Worse Than Dog Bites? 'Pinprick' Injuries Can 'Seed Bacteria Dog bites take about twice as long to set in. A fever is considered a temperature of 100.4 degrees Fahrenheit or higher. In the Mayo Clinic study, eight of the 193 patients surveyed required more than one operation, and some had to have reconstructive surgery. Animal bites usually contain multiple potential pathogens, including Pasteurella multocida (particularly in cat bites), staphylococci, streptococci, and anaerobes. Because cat bites usually cover a small area, you will probably be able to cover it with an over-the-counter adhesive Band Aid. Of the hospitalized patients, 67% (n = 38) underwent irrigation and debridement, with 8 patients requiring more than 1 operation. According to a 2016 case report, cat bites can injure a nerve in rare cases. 2021 Sep 9;9(9):e3778. Active range of motion deficits are present at the wrist and thumb due to pain and swelling. Some bruising may develop, but the wound should heal within a week to 10 days. 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. It can happen even with the most loving, docile cat: an overexcited cat nips her guardian while playing, or accidentally bites her guardians finger while accepting a treat. Tendon necrosis and rupture; Hand dysfunction; Amputation; Systemic infection ~75% of cases are associated with antecedent injury. Cats are also the main reservoir of Bartonella henselae, the causative agent of cat scratch disease, which was confirmed in the presented patient by serological examination. 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. Cat bites with infections can become not only painful, but also red or discolored, and swollen. Cat-scratch disease in the United States, 20052013. Conclusions: Cat bite injuries to the hand can progress to serious infection. Tenosynovitis refers to inflammation of a tendon and its synovial sheath; this condition occurs most frequently in the hand and wrist but can occur in any part of the extremities where a tendon glides within a synovial-lined fibro-osseous sheath. ANZ J Surg. Monitor the area over the following few days for any usual symptoms or pain. Cats, like many other mammals, can carry rabies. "When my grandkids come over I don't let him around them, because things happen.". FOIA Should You Pop the Blisters Caused by Fire Ant Stings? Keywords: Hand or wrist infection; cat bites; delayed treatment; diabetic finger; finger amputation; public awareness. Tendons And Ligaments In The Hand Are. What is the potential risk associated with cat bites? The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Fever that lasts for several days after a cat scratch or bite. Once symptoms are present, rabies is typically fatal. Can vitamin D help maintain muscle strength? Mr. Hs medical history included hypertension, hypercholesterolemia, and tobacco abuse. But if an unvaccinated cat has bitten you, you must take the bite seriously. All rights reserved. 3 Charts | Cat Bite Guide: Symptoms and First Aid Rabies is caused by a virus and can be transmitted by bites and scratches from an infected animal, often a dog. 2022 Feb 23;14(5):867. doi: 10.3390/polym14050867. Copyright 2023 Haymarket Media, Inc. All Rights Reserved There was limited range of motion at the PIP joint on the second digit. In the study, researchers identified 193 Mayo Clinic patients with cat bites to the hand from January 1, 2009, through 2011. 20 The trial was terminated because of high rates of infection with wound care alone (47%). Last medically reviewed on March 22, 2021. Tendon and tissue damage. The index finger was the most common site of injury (45%). cat bite wrist tendonjameel disu biography. Treatment of hand infections using WALANT -when the anesthesiologist is not available: A retrospective cohort study. Unlike other animal bites, which can tear flesh and even break bones, these deeper wounds are much harder to clean. Dr. Donnelly is a board certified orthopedic surgeon specializing in injuries and ailments of the hand, wrist, and elbow. Puncture wounds from a cat bite have a high risk of infection. WebMD does not provide medical advice, diagnosis or treatment. Mr. H noted a progression of redness and swelling over the past three days, and admitted inconsistent use of the sling. for three to five days or one double-strength trimethoprim/sulfamethoxazole tablet b.i.d. Plast Reconstr Surg Glob Open. 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. The type of animal involved will determine the specific injury that occurs; cats have a weaker bite but sharper teeth, therefore cause deep puncture wounds, whilst dogs have a strong bite . Introduction. [Treatment of bites to the hand and wrist--is the primary antibiotic prophylaxis necessary?]. Misunderstanding this risk has led to a worrying number of hospitalizations, as patients require surgery to clean wounds or remove tissue thats become infected. There are a few people, that develop severe allergic reactions to flea bites and can get irritated by a single bite. tenderness or pain under your elbow or armpit due to swollen lymph nodes. Eight out of ten cat bites will become infected, experts warn, as moggies inject bacteria into the tissue when they sink their teeth into their victims, causing blood poisoning. Capillary refill to the upper extremities measured fewer than three seconds. While all bites carry bacteria, your body manages to fend off most infections from dog bites. Dr. Kaul is the MSN and DNP Program Director and an associate professor at Concordia University Wisconsin in Mequon. Weber DJ, Wolfson JS, Swartz MN, Hooper DC. The puncture hole can quickly seal over and trap bacteria from the cats mouth under your skin. Complications were common among these patients. 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Can low vitamin D increase risk of cancer? In these cases, the researchers said, the wound should be treated aggressively. Before joining Pontchartrain Orthopedics and Sports Medicine, he completed a hand and microsurgery fellowship at the prestigiousPhiladelphia Hand Center. "Every time they would stitch me up after flushing the wound, the infection would just get worse. Benson LS, Edwards SL, Schiff AP, et al. Which means there are very few white blood cells to fight the bacteria, and they have an easy time infecting your tendon cells. Hand or wrist infection; cat bites; delayed treatment; diabetic finger; finger amputation; public awareness. 2021 Nov 1;71:102993. doi: 10.1016/j.amsu.2021.102993. What to do? 2023 ICD-10-CM Diagnosis Code W55.01XA - ICD10Data.com If the wound is bleeding, dont stop blood flow; in fact, try to encourage bleeding by gently pressing the area around the wound. Occasionally an infection can cause tendinitis, especially infection from a cat or dog bite to the hand or a finger. The warm and dark inner layers of your skin are optimal for the growth of the bacteria. We recommend that any symptomatic cat bites to the upper limb, especially hand and wrist, must be treated promptly, essentially within 48 hours of injury, particularly in immunocompromised population. A 29-year-old woman with fever after a cat bite. Felines' sharp teeth can inject harmful bacteria deep into joints and tissue, doctors warn 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. The main symptoms were limited and there was painful mobilisation of fingers and wrist, and swelling and redness in the area of the bite wound. Cat bites are more frequent in the mornings, in the summer, and in spring [4]. 2. Swelling from cat bite how long will it last - HealthTap 2022 Mar 24;7(1):e21.00084. This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization. An official website of the United States government. Brandon P. Donnelly, MD is not liable or responsible for any advice, course of treatment, diagnosis or any other information, services or product you obtain through this site. 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. 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. HHS Vulnerability Disclosure, Help Here are some of the potential infectious diseases that can happen after a cat bite: Pasteurella multocida is a type of bacteria frequently found in the mouths of cats that can cause infections after a bite or scratch. She said what followed was eight weeks in and out of the hospital, two weeks of surgery every other day to flush the infection out of the wound and remove infected tissue, and antibiotics to treat the rampant infection. Cat Bites: Don't Take Them Lightly (Info & Treatment) Psoriatic arthritis. Sources: Babovic N, Carlsen BT, Cayci C. Cat Bite Infections of the Hand: Assessment of Morbidity and Predictors of Severe Infection. After receiving his medical degree fromLouisiana State University (LSU) Health Sciences Center in New Orleans, where he was awarded the Orthopedic Surgery award. Copyright 2014 American Society for Surgery of the Hand.

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