of dog bites, middle-aged women were the most common victims of cat bites to the hand, according to the Mayo Clinic study. A dogs powerful jaws and blunt teeth tend to leave a larger wound, but they dont penetrate as deeply. An official website of the United States government. 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 average of the participants was 49 years old, and 69 percent were women. Millions of people are bitten by animals every year. In the study, researchers identified 193 Mayo Clinic patients with cat bites to the hand from January 1, 2009, through 2011. The information in this post is not a substitute for medical care. o [teenager OR adolescent ], , MD, Perelman School of Medicine at the University of Pennsylvania. Does vitamin D play a role in your risk of dying from cancer? The researchers studied nearly 200 cat bite cases that occurred between 2009 and 2011. Dutton LK, Hinchcliff KM, Logli AL, Mallett KE, Suh GA, Rizzo M. JB JS Open Access. and transmitted securely. Mr. H was unsure of the date of his last tetanus shot and reported that the cat is up to date on all immunizations. Univariate and multivariate statistical regression were used to analyze the data. Another SOLID Site, WALANT | Wide Awake Local Anesthesia No Tourniquet. Cats bite mostly on hands, arms or legs. We write about feline health, nutrition, lifestyle, and so many other interesting topics! [Polymicrobial osteomyelitis on the limb of the hand after a cat bite]. what holidays is belk closed; is lamarca prosecco vegan; 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. 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. Keywords: Hand or wrist infection; cat bites; delayed treatment; diabetic finger; finger amputation; public awareness. Ms. Henderson is a family nurse practitioner at Wheaton Franciscan HealthcareAll Saints in Racine, Wisc. You may have to try a few different chemical and nonchemical approaches to get rid of bedbugs, especially if you have a large infestation. 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 Wrist tendonitis is irritation and inflammation of the tendons at the wrist joint. Before Some bruising may develop, but the wound should heal within a week to 10 days. It was strongly advised that the patient follow up the next day, but Mr. H declined. We do not control or have responsibility for the content of any third-party site. A recent Mayo Clinic study shows that one out of three people who sought treatment for a cat bite to the hand were hospitalized. BP was 120/78 mm Hg, pulse 98 beats per minute, pulse oxygenation 97%, temperature 98.8F, and weight 290 lbs. The treatment of such infections often requires hospitalization, intravenous antibiotic therapy, and operative treatment. 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. You should not use this information in place of a consultation or the advice of your healthcare provider. eCollection 2021 Sep. Malizos KN, Papadopoulou ZK, Ziogkou AN, Rigopoulos N, Athanaselis ED, Varitimidis SE, Dailiana ZC. Felines' sharp teeth can inject harmful bacteria deep into joints and tissue, doctors warn. 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. (2018). Treatment can be nonoperative or operative depending on the zone of injury. Cat-scratch disease in the United States, 20052013. 2015 Jan;23(1):47-57. doi: 10.5435/JAAOS-23-01-47. MeSH This site needs JavaScript to work properly. 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 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. Serious complications include infectious arthritis Acute Infectious Arthritis Acute infectious (septic) arthritis is a joint infection that evolves over hours or days. At the hand, where cats most often bite . The patient was able to return to work. About half the patients visited an emergency room, while the rest went to their primary-care physician. Tetanus is a serious infection caused by a bacterium called Clostridium tetani. Copyright 2023 Merck & Co., Inc., Rahway, NJ, USA and its affiliates. Mean duration of antibiotic treatment and length of hospital stay were significantly longer in Group B (p < .05). The skin was warm and dry to touch. Use soap and water or an antiseptic such as hydrogen peroxide or alcohol. The most common symptoms of infection from a cat bite include: redness or discoloration swelling inflammation warmth a bump or blister where the bite wound is located More serious symptoms of. Cat bites can also lead to bone infection, and in extreme cases, septic shock, which is a life-threatening condition. Camacho Zamora P, Romn Cabello M, lvarez Garca P, Vzquez Canal E. Rev Esp Quimioter. Early treatment is beneficial in decreasing the risk of infection. Tendons And Ligaments In The Hand Are. 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. Some states allow this quarantine to be done in the cats home, others require that it will be carried out in an approved animal control facility. 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. Epub 2021 Jul 2. 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. Data included patient demographics, anatomical site of injury, microbiology results, method of treatment and surgical outcome. 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 injuries to the hand can progress to serious infection. Clinical Guidelines in Family Practice. Musculoskeletal and Connective Tissue Disorders, Amoxil, Dispermox, Moxatag, Moxilin , Sumox, Trimox, Biocef, Daxbia , Keflex, Keftab, Panixine, Cleocin, Cleocin Ovules, Cleocin Pediatric, Cleocin T, CLIN, Clindacin ETZ, Clindacin-P, Clinda-Derm , Clindagel, ClindaMax, ClindaReach, Clindesse, Clindets, Evoclin, PledgaClin, XACIATO, Acticlate, Adoxa, Adoxa Pak, Avidoxy, Doryx, Doxal, Doxy 100, LYMEPAK, Mondoxyne NL, Monodox, Morgidox 1x, Morgidox 2x , Okebo, Oracea, Oraxyl, Periostat, TARGADOX, Vibramycin, Vibra-Tabs. Keywords: Watch the area carefully to see if there are signs of damaged nerves or tendons. Immediately after the incident, Mr. H. washed his wounds with soap and water, applied antibiotic ointment, and took ibuprofen for pain relief. This is a combination of a skin disorder (psoriasis) and . cat bite wrist tendonjameel disu biography. Dog and cat bites to the hand: treatment and cost assessment. If you dont know the rabies status of the animal, try to locate it and call animal control. Empiric antibiotics for outpatient treatment usually include monotherapy with amoxicillin/clavulanate 500 mg orally 3 times a day or combined therapy with penicillin 500 mg orally 4 times a day (for E. corrodens, P. multocida, streptococci, and anaerobes) plus either a cephalosporin (eg, cephalexin 500 mg orally 4 times a day) or semisynthetic penicillin (eg, dicloxacillin 500 mg orally 4 times a day) for staphylococci. 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. 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. Mr. H was unable to perform full flexion of the second digit. Can antioxidants supercharge your brain power? Copyright 2023 Haymarket Media, Inc. All Rights Reserved Give them time to calm down before approaching them. Mean length of hospital stay was 3.4 days in Group A, and 9.2 days in Group B, (p < .01). Last Updated on: January 25, 2023 by Crystal Uys. Learn more about rabies in humans here. 1995 Aug;52(2):479-85, 489-90. 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. Rabies is caused by a virus and can be transmitted by bites and scratches from an infected animal, often a dog. As your body works to fight the bacteria in the cat bite, you may develop a fever. 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. 2022 Oct;35(5):498-499. doi: 10.37201/req/009.2022. Checking for Immediate Trauma. 1984 May;63(3):133-54. Cat bites create narrow, deep puncture wounds. Numbness, pain and weakness may be symptoms of it. Joint spaces were preserved, and bony structures were in good alignment. [Brusalis, 2017] Penetrating injuries are the most common (ex, cat scratch/bite). Before 1. "A bite on the thigh probably isn't an issue because the cat probably just bites the fat," Carlsen said. Determine the severity of the bite. 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). . HHS Vulnerability Disclosure, Help Check for signs such as bruising, punctured skin, bleeding, and objects stuck in the wound. 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. Hydrocodone (Vicodin) and naprosyn (Naproxen) were also prescribed for pain and inflammation. Cats bite for a variety of reasons. Patient demographics, medical history, physical examination findings, laboratory values, and long-term follow-up data were collected. Small but deep punctures there led to a higher risk of hospitalization than bites into soft tissue, according to the study. 1. 2004 Oct;74(10):859-62. doi: 10.1111/j.1445-1433.2004.03189.x. You should still clean the wound area with soap and water, but its unlikely you will have to take any action. Symptoms include not only pain, but also numbness and paresthesia. If you have been bitten by a cat, seeyour doctor or visit anurgent care facility. 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. Cat bite victims sometimes must have their wounds surgically irrigated or even have infected tissue removed, a procedure called debridement. The pain almost drove me up the wall.". These red streaks are from the infection traveling down your lymph system. Mr. H noted a progression of redness and swelling over the past three days, and admitted inconsistent use of the sling. 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. Ingrid King is an award-winning author, former veterinary hospital manager, and veterinary journalist who is passionate about cats. J Am Acad Orthop Surg. The .gov means its official. National Library of Medicine The CDC says that the incubation period for rabies (time between exposure and the appearance of symptoms) can be weeks to months. Would you like email updates of new search results? These bites may look harmless, but it is important to take immediate medical action after the initial injury. First, be sure to clean the wound. If the patient is allergic to penicillin, recommend doxycyline 100 mg b.i.d. 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. Dog and cat bites to the hand: treatment and cost assessment. To assess the overall morbidity of cat bites to the hand and identify risk factors for hospitalization after such an injury. Dont try to capture the cat yourself. J Hand Surg Am. Cat bites can results in mild scarring, the raised area is probably a little scar tissue settling down. fever or chills. 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. July 2012 edited July 2012. Tendon and tissue damage. Learn about symptoms in cats and humans, and get facts on. Diagnosis is made clinically by physical examination and performing various provocative tests depending on the location of the injury. They may take a culture swab to help identify the type of bacteria causing the infection. Discharge instructions and wound-care handouts were provided. Pulling away, Mr. H fell back and landed on a coffee table with his open right hand hyperextended. A serious infection can develop 24-48 hours after being bitten. Dry the bite first, to help the Band Aid stick. 20 The trial was terminated because of high rates of infection with wound care alone (47%). The site is secure. Tendon necrosis and rupture; Hand dysfunction; Amputation; Systemic infection ~75% of cases are associated with antecedent injury. 2021 Aug;70(8):639-643. doi: 10.1007/s00101-021-01003-9. He is currently an Assistant Professor of Orthopedic Surgery at Louisiana State University (LSU) Health Sciences Center. Wrist Tendonitis; DeQuervain's Tendonitis; Carpal Boss; Wrist Fractures; Distal Radius Fracture of the Wrist; Scaphoid Fractures of the wrist . Disclaimer. Read on to learn more about symptoms and how to prevent bug bites. Our website services, content, and products are for informational purposes only. The right arm was placed in a sling for elevation of the extremity. 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. Cat bites carry other risks besides infections. Extensor Tendon Injuries are traumatic injuries to the extensor tendons that can be caused by laceration, trauma, or overuse. . FOIA If you do get a cat bite, youll likely find out pretty quickly if its going to get infected. You may need to begin rabies treatment if the cat thats bitten you shows any rabies symptoms. 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