Initial antibiotic therapy for alligator bites: characterization of the oral flora of Alligator mississippiensis.
An open thumb fracture resulting from an alligator bite became infected with Aeromonas hydrophila, Enterobacter agglomerans, and Citrobacter diversus. The patient was treated by surgical debridement and antibiotic therapy. We obtained cultures from the mouth of ten alligators to characterize their oral flora. Initial empiric therapy after alligator bites should be directed at gram-negative species, in particular, Aeromonas hydrophila and anaerobic species including Clostridium. Of the numerous fungi that were isolated, none has been reported to result in wound infection after alligator bites.
Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, La.
F
F
Flandry
E J
EJ
Lisecki
G J
GJ
Domingue
R L
RL
Nichols
D L
DL
Greer
R J
RJ
Haddad
D000328:Adult; D000333:Aeromonas / Q000302:isolation & purification; D000489:Alligators and Crocodiles / Q000382:microbiology*; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy; D001733:Bites and Stings / Q000188:drug therapy / Q000382:microbiology*; D004338:Drug Combinations / Q000627:therapeutic use; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D008297:Male; D012104:Reptiles / Q000382:microbiology*; D015144:Southeastern United States; D013420:Sulfamethoxazole / Q000627:therapeutic use; D013933:Thumb / Q000293:injuries; D014295:Trimethoprim / Q000627:therapeutic use; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D014871:Water Microbiology
D000900:Anti-Bacterial Agents; D004338:Drug Combinations; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D014295:Trimethoprim; D013420:Sulfamethoxazole