Dog Bites With Resultant Periorbital Cellulitis.

IF 0.8 Q4 NURSING
Advanced Emergency Nursing Journal Pub Date : 2025-01-01 Epub Date: 2024-11-28 DOI:10.1097/TME.0000000000000548
Julie-Kathryn Graham, Pedro A Colio
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引用次数: 0

Abstract

This case study examines the delayed presentation of a facial dog bite, an uncommon occurrence in the periorbital area. Initially perceived as a minor injury, the wound was disregarded in its early stages. However, as the infection progressed, prompting urgent evaluation in the emergency department (ED) as the severity became evident. The patient was diagnosed with an acute facial infection carrying the potential for periorbital cellulitis and abscess formation, necessitating immediate imaging. Prompt evaluation of penetrating animal bites, particularly dog bites, is crucial due to their high infection risk. As emphasized by Hamed-Assam et al., immediate attention and prophylactic antibiotics are advised for such cases, preferably broad-spectrum antibiotics with anaerobic coverage. The patient underwent treatment in the ED approximately a day after the incident, receiving antibiotics and subsequently discharged following advanced diagnostic imaging. This case underscores the importance of recognizing and promptly addressing delayed dog bites, emphasizing the significance of immediate medical intervention post-penetrating animal bites.

狗咬伤导致眼眶周围蜂窝织炎。
本病例研究检查延迟呈现面部狗咬伤,罕见的发生在眶周区域。最初被认为是轻伤,伤口在早期阶段被忽视了。然而,随着感染的进展,促使紧急评估在急诊科(ED),因为严重程度变得明显。患者被诊断为急性面部感染,伴有眶周蜂窝织炎和脓肿形成的可能性,需要立即影像学检查。迅速评估穿透性动物咬伤,特别是狗咬伤,是至关重要的,因为它们的感染风险很高。正如Hamed-Assam等人所强调的那样,对于这种情况,建议立即注意并预防性使用抗生素,最好是具有厌氧覆盖的广谱抗生素。事件发生后大约一天,患者在急诊科接受治疗,接受抗生素治疗,随后在高级诊断成像后出院。这个案例强调了识别和及时处理延迟狗咬伤的重要性,强调了穿透动物咬伤后立即进行医疗干预的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.90
自引率
0.00%
发文量
97
期刊介绍: Advanced Emergency Nursing Journal is a peer-reviewed journal designed to meet the needs of advanced practice clinicians, clinical nurse specialists, nurse practitioners, healthcare professionals, and clinical and academic educators in emergency nursing. Articles contain evidence-based material that can be applied to daily practice. Continuing Education opportunities are available in each issue. Feature articles focus on in-depth, state of the science content relevant to advanced practice nurses and experienced clinicians in emergency care. Ongoing Departments Include: Cases of Note Radiology Rounds Research to Practice Applied Pharmacology
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