Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • circumstances of animal bite
  • vital signs unstable
  • wound description
  • erythema
  • induration
  • fluctuance
  • purulent drainage
  • regional adenopathy
  • necrotic tissue

Risk factors

  • age <14 years
  • pet ownership
  • high-risk occupations
  • immunosuppression (increased risk of infection if bitten)
  • diabetes (increased risk of infection if bitten)
  • previous mastectomy (increased risk of infection if bitten)
  • splenectomy (increased risk of infection if bitten)
  • liver disease (increased risk of infection if bitten)

Diagnostic investigations

Investigations to consider

  • CBC
  • blood cultures
  • angiography
  • photography
  • DNA swab
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Consultant, Emergency Medicine

Croydon University Hospital NHS Trust

London

UK

Disclosures

OS declares that he has no competing interests.

Consultant, Emergency Medicine

Croydon University Hospital

London

UK

Disclosures

SB has no competing interests.

Dr Oliver Spencer and Dr Subhro Banerjee would like to gratefully acknowledge Dr A. Parfitt, Dr Randy Taplitz, and Dr Eric Chang, the previous contributors to this monograph. AP and EC declare that they have no competing interests. RT has received funding from Pfizer to attend several antifungal symposia and funding from Schering-Plough to attend an antifungal Speaker's Bureau Workshop.

Peer reviewers VIEW ALL

Associate Chief of Pediatrics

General Pediatrics/Pediatric Infectious Diseases

University of Rochester

New York

NY

Disclosures

CC declares that she has no competing interests.

Interim Chair of Emergency Medicine

Professor of Emergency Medicine and Pediatrics

University of Rochester

New York

NY

Disclosures

GC declares that he has no competing interests.

Professor of Clinical Emergency Medicine

Director of Medical Toxicology

Department of Emergency Medicine

University of California

Irvine Medical Center

Orange

CA

Disclosures

JRS declares that he has no competing interests.

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