Garibay-González F, Poblano TGD, Viveros-Carreño FA, Valencia FA, López CA, González JA

Language: Spanish
References: 6
Page: 88-95
PDF size: 579.74 Kb.

Text Extraction

Attacks on humans by large cats are uncommon occurrences in our country. The authors here report a six years old boy who was attacked by a private zoo Bengala´s tiger. The attack resulted in multiple head and neck injuries with facial nerve disruption. Facial nerve was repaired at the level of stylomastoid hole. The patient was complicated with spontaneous peritonitis.
At laparoscopy, supra hepatic and pelvic purulent collections were found, an incidental appendectomy was performed. Purulent collections were present two weeks later and drained by an interventionist Radiologist.
40 days later, patient was discharged in good health with partial recovery of facial function
Although uncommon in Mexico, big cats attacks should be kept in mind; management should be aggressive with prompt surgery cleaning, injured structures repairs, prophylactic antibiotic and multidisciplinary approach.

REFERENCES

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3. 3.! Big cat incidents in the United States Factsheet. PETA. Org. September 2011.

4. 4.! Rahman MM, Islam SM, Amhed SJ. Tiger bite, an unapprehended injury. J Coll Physicians Surg. Pak. 2009; 19 (9): 595-7.

5. 5.! Capitini CM, Herrero IA, Patel R. Wound infection with Neisseria weaveri and a novel subspecies of Pasteurella multocida in a child who sustained a tiger bite. Clin Infect Dis. 2002; 34: E74-76.

6. 6.! Isotalo PA, Edgar D, Toye B. Polymicrobial tenosynovitis with Pasteurella multocida and other gram negative bacilli after a Siberian tiger bite. J Clin Path 2000; 53: 871-72.