title: Acute carpal tunnel syndrome of the hand following a cat bite.
abstract: Cat bites at the hand are common situation in emergency departments. Neglected or poorly supported, these lesions sometimes lead to serious injuries that may compromise the function of the hand. Pasteurellamultocida is the most offending germ in these lesions, despite their sensitivity to antibiotics; it can sometimes lead to deep infections involving the skin, bones and joints. Acute carpal tunnel syndrome is exceptional after cat bite. We report a case of a 56 Year old female presenting with an acute carpal tunnel syndrome associated with compartment syndrome of the right hand 6 days after a cat bite of her right thumb. The patient was treated by surgery to relieve the median nerve. Microbiology identified PasteurellaMultocida.
authors.affiliation: Orthopedic Surgery and Trauma Department, MT Maamouri Hospital, Nabeul, Tunisia.
authors.forename: Mohamed Ali
authors.initials: MA
authors.lastname: Sbai
authors.affiliation: Plastic Surgery Department, La Rabta Hospital, Tunis, Tunisia.
authors.forename: Slim
authors.initials: S
authors.lastname: Dabloun
authors.affiliation: Orthopedic Surgery and Trauma Department, MT Maamouri Hospital, Nabeul, Tunisia.
authors.forename: Sofien
authors.initials: S
authors.lastname: Benzarti
authors.affiliation: Plastic Surgery Department, La Rabta Hospital, Tunis, Tunisia.
authors.forename: Myriam
authors.initials: M
authors.lastname: Khechimi
authors.affiliation: Plastic Surgery Department, La Rabta Hospital, Tunis, Tunisia.
authors.forename: Abdesselem
authors.initials: A
authors.lastname: Jenzeri
authors.affiliation: Plastic Surgery Department, La Rabta Hospital, Tunis, Tunisia.
authors.forename: Riadh
authors.initials: R
authors.lastname: Maalla
mesh_terms: D000208:Acute Disease; D000818:Animals; D001733:Bites and Stings / Q000150:complications* / Q000382:microbiology; D002349:Carpal Tunnel Syndrome / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D002415:Cats; D005260:Female; D006225:Hand; D006801:Humans; D008475:Median Nerve / Q000601:surgery; D008875:Middle Aged; D010326:Pasteurella Infections / Q000150:complications*; D016979:Pasteurella multocida / Q000302:isolation & purification
keywords: Cat-bite; acute carpal tunnel syndrome; compartment syndrome; hand surgery; pasteurella multocida