Camel bite: an unusual type of head injury in an infant.
Small children are predisposed for animal bite wounds in the craniofacial region, because the likelihood of sustaining trunk and extremity injuries increases with height. The clinical picture of animal bite wounds is highly variable. Depending on the dental anatomy of the biting animal, such wounds may range from sharp stitch wounds to extensive lacerations with or without tissue loss. The ears and nose are injured most often because of their exposed location. Nevertheless, depressed skull fractures with injury to the dura and to the brain parenchyma are extremely rare. This case presentation describes the rare case of a craniocerebral camel bite wound (Lackmann stage IV B) in a 3-year-old girl that required immediate neurosurgical management. The neurosurgical management, choice of antibiotic, postoperative treatment, and clinical course are discussed, and background information on camel bite injuries is given.
Suess
O
O
Department of Neurosurgery, Charite-Universitaetsmedizin Berlin, Campus Benjamin Franklin (CBF), Berlin, Germany.
Magerkurth
O
O
Da Silva
C
C
Brock
M
M
Pietilä
T A
TA
D000818:Animals; D001424:Bacterial Infections / Q000209:etiology / Q000517:prevention & control; D001733:Bites and Stings / Q000150:complications / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D002162:Camelus; D015310:Cefotiam / Q000008:administration & dosage; D002675:Child, Preschool; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D005260:Female; D015600:Glasgow Coma Scale; D006407:Hematoma, Epidural, Cranial / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D008795:Metronidazole / Q000008:administration & dosage; D020204:Skull Fracture, Depressed / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D013743:Tetanus Antitoxin / Q000008:administration & dosage; D007507:Therapeutic Irrigation; D016896:Treatment Outcome
D013743:Tetanus Antitoxin; D008795:Metronidazole; D015310:Cefotiam