Resit SEVİMLİ, Ali CANBAY, Okan ASLANTÜRK, Arsan Hussien SALİH

Metacarpal osteomyelitis secondary to human bite: a case report

The injuries resulting from Human bite are rarely seen in the clinical practice. It accounts for approximately 0.1% of injuriespresenting to emergency service (1), and for about 2% of all bite wounds (2). Human bite injuries happens usually during fights and rarely occurs accidentally during sports activityes. If neglected, human bites can cause serious infective complications due to the high concentration of microorganisms in the oral cavity. Wound dressing and oral antibiotics for the treatment of human bite is notan adequate method of treatment; Wound exploration, extensive debridement and adequate wash should be considered under operative condition followed by broad-spectrum intravenous antibiotics therapy. In this presentation we aimed to present a case of phalanx fracture after a human bite who received treatment for acute osteomyelitis.

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1.Broder J, Jerrard D, Olshaker J. Low risk of infection in selected human bites treated without antibiotics. Am J Emerg Med 2004;22(1):10–3.
2.Callaham M. Human and animal bites. Adv Emerg Nurs J 1982;4(1):1-15.
3.Tan W, Wazir N, Chiu C, Ko M. "Chronic osteomyelitis secondary to human bite: a case report."Malaysian orthop J 2012;6(3):40-1.
4.Iyidobi EC, Nwokocha AU, Nwadinigwe CU, Ugwoke KI. Above elbow amputation and death following human bite mismanaged by quacks: a case report and review of literature. Niger J Med 2012;21(2):249-51.
5.Rupprecht CE, Briggs D, Brown CM, Franka R, Katz SL, Kerr HD, et al. Center for Disease Control and Prevention. Use of a reduced (4-dose) vaccine schedule for postexposure prophylaxis to prevent human rabies. recommendations of the advisory committee on ımmunization practices. MMVR Recomm Rep 2010;59(RR-2):1-9.
6.Brook I. Management of human and animal bite wound infection: An overview. Curr Infect Dis Rep 2009;11(5):389–95.
7.Sbai MA, Benzarti S, Boussen M, Maalla R. "Teeth syndrome: diagnosis, complications and management. Pan Afr Med J 2015;28(22):71.
8.Rittner AV, Fitzpatrick K, Corfield A. Best evidence topic report. Are antibiotics indicated following human bites? Emerg Med J 2005;22(9):654.
9.Cartotto, RC. "Managing human bite infections of the hand. Can Fam Physician1986;32:593-6.