Abstract
Living in a society of animal lovers, the dangers are often not always apparent. Injury from bites and scratches is an occupational hazard for those people who work with animals. Despite the high risk of secondary wound infection as a result of an animal bite, many patients do not receive treatment with an antimicrobial medication. This report describes a case of a previously fit and well 66-year-old female dog handler who, after an apparently minor dog bite to the hand, developed fulminant acute Staphylococcus aureus endocarditis and life-threatening aortic regurgitation. This article discusses the microbiology behind dog bites and highlights the need for proper wound hygiene and consideration of prophylactic broad-spectrum antibiotics to prevent potentially fatal outcomes as a result of what initially seem to be minor injuries.
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References
References 1. Abrahamian FM. Dog bites: Bacteriology, management, and prevention. Curr Infect Dis Rep 2000; 2: 446–453.AbrahamianFMDog bites: Bacteriology, management, and preventionCurr Infect Dis Rep20002446 2. Quinlan KP, Sacks JJ. Hospitalizations for dog bite injuries. JAMA 1999; 281: 232–233.QuinlanKP]]SacksJJHospitalizations for dog bite injuriesJAMA1999281232 3. Boenning DA, Fleisher GR, Campos JM. Dog bites in children: Epidemiology, microbiology, and penicillin prophylactic therapy. Am J Emerg Med 1983; 1: 17–21.BoenningDA]]FleisherGR]]CamposJMDog bites in children: Epidemiology, microbiology, and penicillin prophylactic therapyAm J Emerg Med1983117 4. Skurka J, Willert C, Yogev R. Wound infection following dog bite despite prophylactic penicillin. Infection 1986; 14: 134–135.SkurkaJ]]WillertC]]YogevRWound infection following dog bite despite prophylactic penicillinInfection198614134 5. Maurice S. Towards evidence based emergency medicine: Best BETs from the Manchester Royal Infirmary—Antibiotics after dog bite. J Accid Emerg Med 1998; 15: 382.MauriceSTowards evidence based emergency medicine: Best BETs from the Manchester Royal Infirmary—Antibiotics after dog biteJ Accid Emerg Med199815382 6. Decoster H, Snoeck J, Pattyn S. Capnocytophaga canimorsus endocarditis. Eur Heart J 1992; 13: 140–142.DecosterH]]SnoeckJ]]PattynSCapnocytophaga canimorsusendocarditisEur Heart J199213140 7. Shankar PS, Scott JH, Anderson CL. Atypical endocarditis due to Gram-negative bacillus transmitted by dog bite. South Med J 1980; 73: 1640–1641.ShankarPS]]ScottJH]]AndersonCLAtypical endocarditis due to Gram-negative bacillus transmitted by dog biteSouth Med J1980731640 8. Hermann CK, Hansen PB, Bangsborg JM, Pers C. Bacterial infections as complications of dog bites [in Danish]. Ugeskr Laeger 1998; 160: 4860–4863.HermannCK]]HansenPB]]BangsborgJM]]PersCBacterial infections as complications of dog bites [in Danish]Ugeskr Laeger19981604860 9. Tanasescu S, Joly P, Le Corvaisier-Pieto C, Dujardin F, Latouche JB, Lauret P. Acute necrotizing cutaneous streptococcal infection following bites or scratch by dog or cat [in French]. Ann Dermatol Venereol 1996; 123: 804–806.TanasescuS]]JolyP]]Le Corvaisier-PietoC]]DujardinF]]LatoucheJB]]LauretPAcute necrotizing cutaneous streptococcal infection following bites or scratch by dog or cat [in French]Ann Dermatol Venereol1996123804 10. Simoons-Smit AM, Savelkoul PH, Stoof J, Starink TM, Vandenbroucke-Grauls CM. Transmission of Staphylococcus aureus between humans and domestic animals in a household. Eur J Clin Microbiol Infect Dis 2000; 19: 150–152.Simoons-SmitAM]]SavelkoulPH]]StoofJ]]StarinkTM]]Vandenbroucke-GraulsCMTransmission ofStaphylococcus aureusbetween humans and domestic animals in a householdEur J Clin Microbiol Infect Dis200019150 11. Hricak V, Matejicka F, Sedlak T, Duris I, Milovsky V, Kovacik J, et al. Native valve staphylococcal endocarditis: Etiology, risk factors and outcome in 53 cases. J Chemother 1998; 10: 360–368.HricakV]]MatejickaF]]SedlakT]]DurisI]]MilovskyV]]KovacikJNative valve staphylococcal endocarditis: Etiology, risk factors and outcome in 53 casesJ Chemother199810360 12. Hogevik H, Olaison L, Andersson R, Lindberg J, Alestig K. Epidemiologic aspects of infective endocarditis in an urban population: A 5-year prospective study. Medicine (Baltimore) 1995; 74: 324–339.HogevikH]]OlaisonL]]AnderssonR]]LindbergJ]]AlestigKEpidemiologic aspects of infective endocarditis in an urban population: A 5-year prospective studyMedicine Baltimore199574324 13. Israeli E, Attali M, Kracoff OH, Polevshikov M, Malnick SD. Smitten by a kitten. South Med J 1999; 92: 909–911.IsraeliE]]AttaliM]]KracoffOH]]PolevshikovM]]MalnickSDSmitten by a kittenSouth Med J199992909 14. Goldstein EJ. Current concepts on animal bites: Bacteriology and therapy. Curr Clin Top Infect Dis 1999; 19: 99–111.GoldsteinEJCurrent concepts on animal bites: Bacteriology and therapyCurr Clin Top Infect Dis19991999
