Dotson Marc P, Mullen Jeff
Emergency Medicine, Charleston Area Medical Center, Charleston, USA.
Cureus. 2019 Jan 8;11(1):e3845. doi: 10.7759/cureus.3845.
Acute compartment syndrome (ACS) of the hand is uncommon, especially secondary to exotic animal bites. In this case, we describe a patient who developed ACS of the hand after being bitten by her pet, an African grey parrot. The patient required emergent fasciotomy that resulted in symptom improvement. Furthermore, the patient developed an abscess leading to the consideration of antibiotic coverage for bird bites. This case provoked the consideration of compartment syndrome on the differential for minor crush or unusual injuries. It is also important to recognize that compartment syndrome may occur in any fascial compartment. As bird-related injuries are uncommon, we have briefly discussed antibiotic coverage for bird bites and associated zoonoses. We believe this is the first reported case of compartment syndrome of the hand from a parrot bite.
手部急性骨筋膜室综合征(ACS)并不常见,尤其是继发于外来动物咬伤时。在此病例中,我们描述了一名患者,她被自己的宠物——一只非洲灰鹦鹉咬伤后发生了手部急性骨筋膜室综合征。患者需要紧急进行筋膜切开术,术后症状有所改善。此外,患者还出现了脓肿,因此考虑针对鸟类咬伤使用抗生素。该病例促使我们在鉴别轻微挤压伤或特殊损伤时考虑骨筋膜室综合征。同样重要的是要认识到,骨筋膜室综合征可能发生在任何筋膜间隔。由于与鸟类相关的损伤并不常见,我们简要讨论了针对鸟类咬伤及相关人畜共患病的抗生素使用。我们认为这是首例因鹦鹉咬伤导致手部骨筋膜室综合征的报告病例。