最近审阅: 30 十月 2020
最近更新: 18 一月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 动物咬伤情况
  • 伤口描述
  • 红斑
  • 硬结
  • 波动性
  • 脓化流水
  • 局部淋巴结肿大
  • 组织坏死
  • 生命体征不稳

危险因素

  • 14岁以下
  • 宠物所有权
  • 高危人群
  • 免疫抑制(如被咬伤,感染风险将增加)
  • 糖尿病(如被咬伤,感染风险将增加)
  • 曾接受乳房切除术(如被咬伤,感染风险将增加)
  • 脾切除术(如被咬伤,感染风险将增加)
  • 肝脏疾病(如被咬伤,感染风险将增加)

诊断性检查

首要检查

  • 伤口微生物培养检查
  • X 光
更多 首要检查

需考虑的检查

  • 全血细胞计数
  • 血液培养
  • 血管造影术
  • 影像学检查
  • DNA拭子
更多 需考虑的检查

治疗流程

撰稿人

Consultant, Emergency Medicine

Croydon University Hospital NHS Trust

London

UK

利益声明

OS declares that he has no competing interests.

Consultant, Emergency Medicine

Croydon University Hospital

London

UK

利益声明

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.

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Associate Chief of Pediatrics

General Pediatrics/Pediatric Infectious Diseases

University of Rochester

New York

NY

利益声明

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

利益声明

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

利益声明

JRS declares that he has no competing interests.

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