[Animal and human bites : what to do and what to know ?]

Authors:
Cindy Bouvet
Cindy Bouvet
Geneva University Hospitals and Faculty of Medicine
Switzerland
Laurent Kaiser
Laurent Kaiser
University of Geneva Hospitals
Switzerland

Rev Med Suisse 2019 Apr;15(646):780-785

Service des maladies infectieuses, HUG, 1211 Genève 14.

Animal and human bites are a common cause of admission to the emergency room and the infections are common, although they are often trivialized. Complications can range from simple cellulitis to septic shock especially in asplenic patients with Capnoyctophaga canimorsus infection. Other less common infections are possible such as rat-bite fever, leptospirosis, tularemia, and evaluation of post-exposure prophylaxis (anti-tetanus, anti-rabies, HIV, HBV) is essential. Antibiotic prophylaxis remains controversial but is recommended for certain groups of patients and must cover common bite pathogens.

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April 2019
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