Sbai Mohamed Ali, Dabloun Slim, Benzarti Sofien, Khechimi Myriam, Jenzeri Abdesselem, Maalla Riadh
Orthopedic Surgery and Trauma Department, MT Maamouri Hospital, Nabeul, Tunisia.
Plastic Surgery Department, La Rabta Hospital, Tunis, Tunisia.
Pan Afr Med J. 2015 Jul 20;21:206. doi: 10.11604/pamj.2015.21.206.7200. eCollection 2015.
Cat bites at the hand are common situation in emergency departments. Neglected or poorly supported, these lesions sometimes lead to serious injuries that may compromise the function of the hand. Pasteurellamultocida is the most offending germ in these lesions, despite their sensitivity to antibiotics; it can sometimes lead to deep infections involving the skin, bones and joints. Acute carpal tunnel syndrome is exceptional after cat bite. We report a case of a 56 Year old female presenting with an acute carpal tunnel syndrome associated with compartment syndrome of the right hand 6 days after a cat bite of her right thumb. The patient was treated by surgery to relieve the median nerve. Microbiology identified PasteurellaMultocida.
手部猫咬伤在急诊科很常见。若处理不当或未得到充分治疗,这些伤口有时会导致严重损伤,可能影响手部功能。多杀巴斯德菌是这些伤口中最主要的致病菌,尽管它对抗生素敏感,但有时仍会导致涉及皮肤、骨骼和关节的深部感染。猫咬伤后急性腕管综合征较为罕见。我们报告一例56岁女性,在右手拇指被猫咬伤6天后出现与右手骨筋膜室综合征相关的急性腕管综合征。患者接受手术以松解正中神经。微生物学检查发现多杀巴斯德菌。