cat bite wrist tendon

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Cat bites are serious! The study, published in the February issue of the Journal of Hand Surgery, also revealed that eight patients needed more than one surgical procedure, and some needed reconstructive surgery. Cats teeth are sharp and pointy. An official website of the United States government. There was minimal pain and bleeding. Preoperative Antibiotics Influence Culture Yield in the Treatment of Hand, Wrist, and Forearm Infections. The pain almost drove me up the . For 14 percent of these patients, outpatient treatment with antibiotics didn't work and they needed to be hospitalized. Your use of this website constitutes acceptance of Haymarket Medias Privacy Policy and Terms & Conditions. 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. The warm and dark inner layers of your skin are optimal for the growth of the bacteria. Dog and cat bites to the hand: treatment and cost assessment. If the wound is bleeding, dont stop blood flow; in fact, try to encourage bleeding by gently pressing the area around the wound. Mr. H was discharged the next day and told to return to the infusion center every day for the next two weeks for IV Rocephin. Mr. Hs medical history included hypertension, hypercholesterolemia, and tobacco abuse. loss of sensation in . Dr. Donnelly is a board certified orthopedic surgeon specializing in injuries and ailments of the hand, wrist, and elbow. Bacteria can be potentially seeded down into joints and tendon sheaths, far away from where it would be immediately noticed. 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. (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. Infectious tenosynovitis - UpToDate Disclaimer. Pain, tingling, and limited range of motion after a cat bite to the All rights reserved. 2 deep puncture wounds along the pinky by the wrist, 1 in the middle above the wrist & another with a tear by the wrist along the thumb. 2021 Sep 9;9(9):e3778. Animal Bites - Orthopedic Specialists of Seattle A more serious infection may lead to pus or what looks like red streaks down your skin and may cause fever. Hand and Wrist Injuries: Part II. Emergent Evaluation | AAFP The hand should be splinted in the functional position and elevated. Use for phrases 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. 2006 Mar;31(3):468-73. doi: 10.1016/j.jhsa.2005.12.011. To assess the overall morbidity of cat bites to the hand and identify risk factors for hospitalization after such an injury. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions. [Treatment of bites to the hand and wrist--is the primary antibiotic prophylaxis necessary?]. 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. Cats bite for a variety of reasons. Pediatrics in review. 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. Cat Bite, extreme pain, swelling, numbess | Pet - Steady. Health 2023 ICD-10-CM Diagnosis Code S61.451A: Open bite of right hand Laboratory findings showed erythrocyte sedimentation rate 28 mm/hour, high-sensitivity C-reactive protein 14.5 mg/L, WBC 10,0000/l, RBC 3.77 106/l, hemoglobin 12.3 g/dL, and hematocrit 35.3%. Noninfected bite wounds may require surgical debridement and prophylaxis with 50% of the dose of antibiotic used to treat infected wounds. Infection in these tissues can be very painful and difficult to treat. If a cat hasnt been vaccinated for rabies, contact a doctor to decide if you need treatment known as rabies postexposure prophylaxis (PEP). official website and that any information you provide is encrypted Debridement including removal of foreign material associated with open fractures and or dislocations; skin, subcutaneous tissue, muscle fascia, muscle, and bone (11012) Debridement; skin, subcutaneous tissue, and muscle (11043) Debridement; skin, subcutaneous tissue, muscle, and bone (11044) Excisional preparation or creation of recipient site . Bula-Rudas FJ, et al. Cat Bite Injuries to Humans | VCA Animal Hospital 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. With these locations, it's not hard for a cat to puncture a joint or the layer of membrane that covers a tendon. Determine the severity of the bite. Infections occur as a result of a combination of the oral flora of the animal and the human skin flora. 2021 Aug;70(8):639-643. doi: 10.1007/s00101-021-01003-9. (2014). cat bites Pasteurella (most common, 70-80% of cat bite infections) Pasteurella multocida and Pasteurella septica causes intense pain, swelling in 48h other organisms similar to dog bites Associated conditions secondary bacterial infection most bites do not become infected risk factors for infection bite to hand, foot, or major joint National Library of Medicine According to the study patients with bites directly over the wrist or any joint have a higher risk of hospitalization. 8600 Rockville Pike Its really just a function of their slender, sharp fangs. J Hand Surg Am. I still have a small bump from a cat that bit my hand around twenty-five years ago. Pasteurella species was isolated from 35% of infected wounds. Identifying Bug Bites and Stings, and How To Treat Them. The https:// ensures that you are connecting to the We do not control or have responsibility for the content of any third-party site. Patient demographics, medical history, physical examination findings, laboratory values, and long-term follow-up data were collected. But remember, if you are bitten, prompt medical care is required to prevent serious, even long-term complications from a cat bite infection. QUESTIONS. These bites may look harmless, but it is important to take immediate medical action after the initial injury. and transmitted securely. Cat Bites: Don't Take Them Lightly (Info & Treatment) From the November 01, 2010 Issue of Clinical Advisor, Continuing Medical Education (CME/CE) Courses. . Federal government websites often end in .gov or .mil. 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. [Polymicrobial osteomyelitis on the limb of the hand after a cat bite]. July 2012 edited July 2012. Time from bite to presentation, white blood cell count, erythrocyte sedimentation rate, and C-reactive protein values at presentation were not associated with hospitalization. Tendon and tissue damage. 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. Unauthorized use of these marks is strictly prohibited. The .gov means its official. Wrist Tendonitis; DeQuervain's Tendonitis; Carpal Boss; Wrist Fractures; Distal Radius Fracture of the Wrist; Scaphoid Fractures of the wrist . Human and animal bites. According to a study in the New England Journal of Medicine, the average patient with a cat bite first noticed their infections about 12 hours after the bite. These findings should increase concern for a severe infection and warrant hospitalization and urgent consultation with a hand surgeon. Camacho Zamora P, Romn Cabello M, lvarez Garca P, Vzquez Canal E. Rev Esp Quimioter. Bookshelf Patients with joint capsule penetration, tendon injury, or bites older than 24 hours were excluded. Mr. H was unsure of the date of his last tetanus shot and reported that the cat is up to date on all immunizations. 'A cat bite is much worse than a dog or rat bite. In severe cases, surgery may be . 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 . "I washed the wounds on my wrist and put antiseptic on them," Bothun said. 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. You may need to begin rabies treatment if the cat thats bitten you shows any rabies symptoms. a tendon lesion or a purulent flexor . Source: Bacteriologic Analysis of Infected Dog and Cat Bites. Infection is the consequence of cat bites that medical professionals are most worried about. Numbness, pain and weakness may be symptoms of it. Cat-scratch disease in the United States, 20052013. Open cat bite of wrist; Open cat bite wound of neck; Present On Admission. pedsinreview.aappublications.org/content/39/10/490, amjmed.com/action/showPdf?pii=S0002-9343%2816%2930081-X, e-aps.org/journal/view.php?doi=10.5999/aps.2016.43.6.590, orbi.uliege.be/bitstream/2268/187998/1/424%20pub_thiry.pdf, wwwnc.cdc.gov/eid/article/22/10/16-0115_article, ncbi.nlm.nih.gov/pmc/articles/PMC4575703/, vet.cornell.edu/departments-centers-and-institutes/cornell-feline-health-center/health-information/feline-health-topics/zoonotic-disease-what-can-i-catch-my-cat. The subjects were 18 females and two males aged 27-86 years (mean age of 58 years). ", SOURCE: Mayo Clinic, news release, Feb. 5, 2014. Serious complications include infectious arthritis Acute Infectious Arthritis Acute infectious (septic) arthritis is a joint infection that evolves over hours or days. Cat bites can also lead to bone infection, and in extreme cases, septic shock, which is a life-threatening condition. The drug of choice is amoxicillin/clavulanate 875 mg/125 mg b.i.d. 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. . loss of mobility in your finger or hand. Its recommended that you have a tetanus booster after a cat bite if its been more than 5 years since youve had the vaccine. Erythema and pain localized to the bite suggest infection. Clinical findings suggestive of the need for hospitalization include location of the bite over a joint or tendon sheath, erythema, pain, and swelling. o [ pediatric abdominal pain ] Copyright 2023 Haymarket Media, Inc. All Rights Reserved Epub 2019 Jul 9. Is It Bedbugs, Other Bug Bites, or a Rash? Cat bites only account for 10-15% of animal bites reported by emergency rooms, but they pose a much greater risk of infection. It can be caused by overuse and repetitive movements like texting, playing video games, or writing. Risk factors associated with hospitalization included smoking, immunocompromised state, and location of bite over a joint or tendon sheath. In more extreme cases, redirected aggression can cause a cat to lash out at her guardian and cause severe damage. Data included patient demographics, anatomical site of injury, microbiology results, method of treatment and surgical outcome. You need to remove the . sharing sensitive information, make sure youre on a federal Eleven patients (Group A) were presented within 48 hours of their injury. All rights reserved. 20 The trial was terminated because of high rates of infection with wound care alone (47%). government site. 1995 Aug;52(2):479-85, 489-90. 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. Treatment of infected bite wounds of the hand includes surgical debridement, with the wound left open, and antibiotics. 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 the skin and joints, increasing the risk for serious infection. Of the hospitalized patients, 67% (n = 38) underwent irrigation and debridement, with 8 patients requiring more than 1 operation. The site is secure. Learn more about the Merck Manuals and our commitment to Global Medical Knowledge. Cat bite infections of the hand: assessment of morbidity and - PubMed Ms. Henderson is a family nurse practitioner at Wheaton Franciscan HealthcareAll Saints in Racine, Wisc. 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. of dog bites, middle-aged women were the most common victims of cat bites to the hand, according to the Mayo Clinic study. Cat bites are more frequent in the mornings, in the summer, and in spring [4]. in New Orleans, where he was awarded the Orthopedic Surgery award. Once trapped under the skin, these bacteria spread and multiply, causing infection and inflammation (cellulitis) of the surrounding soft tissues. WebMD does not provide medical advice, diagnosis or treatment. They can seed bacteria in the joint and tendon sheaths. Terms of Use. Cat bite leads to surgery. Why, oh why kitty !?! : r/WTF - reddit Puncture wounds tend to heal quickly, but a very deep bite can leave a scar. Diagnosis is made clinically by physical examination and performing various provocative tests depending on the location of the injury. Accessibility Purpose: Animal bites on your hand and fingers are common, especially from pets like dogs and cats. When they bite you, they are essentially injecting bacteria deep into your skins tissue. J Plast Surg Hand Surg. Physical examination findings of erythema and swelling at presentation were also associated with increased risk of hospitalization. [Sepsis after cat bite-How medical history, physical examination and interdisciplinary cooperation influence disease progression]. cat bite hand cellulitis lymphangitis hand infection. Keywords: Hand or wrist infection; cat bites; delayed treatment; diabetic finger; finger amputation; public awareness. Two-third of those hospitalized needed surgery. Obviously, the best bite is the one that has been prevented. Privacy Policy This is a combination of a skin disorder (psoriasis) and . If left untreated, infections can potentially lead to scarring, tissue loss, or even life threatening sepsis. (2016). Human and other mammalian bite injuries of the hand: evaluation and management. You should be especially careful if the wound is around your wrist area. Cat bites to the hand can be especially dangerous since tendon sheaths and joints are close to the surface in the hand and cat bites penetrate deeply. If the bite or scratch hasn't penetrated the skin, the chance of infection is minimal. Do not allow kittens and young cats to play with your hands. 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 . Savu AN, Schoenbrunner AR, Politi R, Janis JE. PMC Infected Bite Wounds of the Hand - MSD Manual Professional Edition Relatively few bites occur on the leg (9%) suggesting that walking away from a frightened cat may be a good strategy. Bats are one of the most common carriers of rabies. How long after a cat bite does infection set in? Benson LS, Edwards SL, Schiff AP, Williams CS, Visotsky JL. A dogs powerful jaws and blunt teeth tend to leave a larger wound, but they dont penetrate as deeply. The more severe the bruising or bleeding looks, the worse the bite is. Conscious Cat is reader-supported. Pictures Of Cat Bites - CAT BHT For an infection to set in, bacteria need time to get settled and multiply in your body which is why there is a delay between a bite and any infection symptoms. Does the amount of Vitamin D you have affect your odds of getting multiple sclerosis? Cat bite - what to do with swelling? | Todocat First, be sure to clean the wound. If your cats get into a serious scuffle, use a blanket or sturdy piece of cardboard to try to separate them. Of those, 57 were hospitalized; on average, they were in the hospital three days. eCollection 2021 Sep. Strwald Y, Erdle B, Busch P, Kalbhenn J, Bansbach J. Anaesthesist. Four patients underwent digital or ray amputations. Published in February in the Journal of Hand Surgery the study looked at 193 patients who received treatment for a cat bite on the hand from January 2009 through 2011. Read more about types of bites, symptoms, and treatments. When Cats Bite: 1 in 3 Patients Bitten in Hand Hospitalized, Infections All patients recently treated at our institution for cat bite injuries to the hand were retrospectively reviewed. An infection from a cat bite can lead to more serious complications if not treated right away. These red streaks are from the infection traveling down your lymph system. Cats carry many bacteria in their mouths capable of causing infections in bite wounds. You can contract cat scratch fever from cats infected with Bartonella henselae bacteria. 8600 Rockville Pike J Am Acad Orthop Surg. Cat Bite Cellulitis A cat bite on the hand can turn into a hospital stay, according to a new study. Can Vitamin D affect your risk of heart disease? A cat bite can turn into a hospital stay, study says It was strongly advised that the patient follow up the next day, but Mr. H declined. 20 . Keywords: There was full range of motion in the right wrist and all other digits of the right hand. When cats do bite, the majority of the time it's a bite on the hand or the wrist. Dawn Bothun, of Minnesota said a bite on her hand turned into an eight-week hospital ordeal and $150,000 in medical bills. 'The wrist is packed with tendons and blood vessels, so infection can be pumped to . - The management of bite wounds in children--A retrospective analysis at a level I trauma centre . Minor injuries from family pets may lead to serious wounds, facial damage, and emotional problems. There are a few people, that develop severe allergic reactions to flea bites and can get irritated by a single bite. Review: The Cat in the Window And Other Stories of the Cats We Love. Acute carpal tunnel syndrome of the hand following a cat bite. First aid for cat bite - myUpchar The study showed that administering antibiotics failed in 21 of the 193 patients, who later received treatment in the hospital. 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 wrist or any joint in the fingers are usually the worst places to be wounded and thats just where most people get bitten by cats. If the patient is allergic to penicillin, clindamycin 300 mg orally every 6 hours can be used. Cat bites are typically puncture wounds that penetrate deeply into the skin and underlying tissues [2] with infection rates of up to 50% [4]. If you have been bitten by a cat, seeyour doctor or visit anurgent care facility. Use soap and water or an antiseptic such as hydrogen peroxide or alcohol. HHS Vulnerability Disclosure, Help He described a nonradiating pain in the tip of the second digit with limited flexion. Therefore, its important to get an infection from a cat bite treated. You should not use this information in place of a consultation or the advice of your healthcare provider. 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. Wash the wound thoroughly with soap and water and cover with a sterile bandage. Capillary refill to the upper extremities measured fewer than three seconds. Cat bites are about twice as likely as dog bites to get infected. "A bite on the thigh probably isn't an issue because the cat probably just bites the fat," Carlsen said. When you think about being bitten by an animal, smaller is better, right? There were no signs of infection and no pain. Read on to learn more about symptoms and how to prevent bug bites. Cat bites and scratches: Sometimes more than just a cut. The family cat lunged at him and bit and scratched his hand. Sources: Babovic N, Carlsen BT, Cayci C. Cat Bite Infections of the Hand: Assessment of Morbidity and Predictors of Severe Infection. Infected Bite Wounds of the Hand - Musculoskeletal and Connective He was on day three of Augmentin and taking it as directed. Published by Elsevier Inc. All rights reserved. Cats have thin sharp teeth that dig into skin and drive bacteria deep into the wound. 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.. "Every time they would stitch me up after flushing the wound the infection would just get worse. Small but deep punctures there led to a higher risk of hospitalization than bites into soft tissue, according to the study. Signs and Symptoms Signs that your bite may be infected include: Swelling Redness Warmth Continued pain beyond 24 hours Drainage from the wound Signs that your infection may be spreading include: Red streaks up the arm or forearm Swollen glands around the elbow or in the armpit Fever Tiredness Night sweats Shakes Wound cultures were significant for Pasteurella multocida. And your cat loves you (in its own fashion). Check for signs such as bruising, punctured skin, bleeding, and objects stuck in the wound. Does vitamin D play a role in your risk of dying from cancer? Once symptoms are present, rabies is typically fatal. The right arm was placed in a sling for elevation of the extremity. Cat bites with infections can become not only painful, but also red or discolored, and swollen. A doctor will likely prescribe antibiotics to fight off the infection. 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. Dog and cat bites to the hand: treatment and cost assessment. The infection resides in synovial or periarticular tissues and is usually bacterialin younger adults read more and osteomyelitis Osteomyelitis Osteomyelitis is inflammation and destruction of bone caused by bacteria, mycobacteria, or fungi. cat bite wrist tendon - moo92.com Type of study/level of evidence: Tendons can rupture and may require surgery. "They can be very serious. We cannot answer questions about whether your bite needs medical attention in the comments section. Any time the skin is punctured, you will experience some level of discomfort, but this initial pain should subside. Dawn Bothun, of Minnesota said a bite on her hand turned into an eight-week hospital ordeal and $150,000 in medical bills. del Mar Amador M, et al. J Hand Surg Am. 5. An initial assessment of early cellulitis and right-hand pain secondary to the cat bite and fall was made. Dr. Philip Schwarzman answered. An infectious disease consultation was ordered. 2019 Dec;53(6):341-346. doi: 10.1080/2000656X.2019.1637750. The treatment of such infections often requires hospitalization, intravenous antibiotic therapy, and operative treatment. Although the diagnosis of infected bite wounds of the hand is clinical, x-rays should be taken to detect fracture or teeth or other foreign bodies that could be a nidus of continuing infection. 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. sharing sensitive information, make sure youre on a federal If you know the cat thats bitten you has a rabies vaccine, its unlikely that youll contract rabies. doi: 10.1097/GOX.0000000000003778. Signs and symptoms warranting earlier evaluation (e.g., fever, chills, increasing edema, erythema, numbness, drainage, and pain) were discussed. Univariate and multivariate statistical regression were used to analyze the data. If the patient is allergic to penicillin, recommend doxycyline 100 mg b.i.d. Rabies is caused by a virus and can be transmitted by bites and scratches from an infected animal, often a dog. 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. and thats just where most people get bitten by cats. Pasteurella multocida infections. These include: An infection from a cat bite may set in within a few hours, but it can take 10 days or more for some infections, like cat-scratch disease, to start showing symptoms. eCollection 2022. Bliss 101 Registered User regular. Clean bite wounds thoroughly with soap and water. And of course, most of us will pet stray cats we meet along the way, but not all seemingly friendly cats remain friendly after being approached by strangers. Guidelines for the treatment of cat and dog bites in humans. Kanavel's Signs: Dr. Brandon P. Donnelly is a native of Slidell, LA. Clipboard, Search History, and several other advanced features are temporarily unavailable. Lesions caused by human and domestic and wild animal bites. 2022 Oct;35(5):498-499. doi: 10.37201/req/009.2022. Conclusions: Not all cat bites lead to infection, but enough do to warrant caution.