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因儿童疏忽导致一名8个月大婴儿遭受严重鼠咬

Serious Rodent Bites to an 8-Month-Old Infant Due to Child Neglect.

作者信息

Skarentzos Konstantinos, Papadopulos Nikolaos, Deftereos Savvas P, Thomaidis Stavros, Kambouri Katerina

机构信息

Medicine, Democritus University of Thrace/General University Hospital of Alexandroupolis, Alexandroupolis, GRC.

Plastic Surgery, Democritus University of Thrace/General University Hospital of Alexandroupolis, Alexandroupolis, GRC.

出版信息

Cureus. 2021 Oct 5;13(10):e18493. doi: 10.7759/cureus.18493. eCollection 2021 Oct.

DOI:10.7759/cureus.18493
PMID:34754654
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8569684/
Abstract

Animal bites are among the top causes of preventable traumatic injuries. We describe the case of an 8-month-old female infant who was brought to the emergency department by her grandfather with serious rodent bites on her eyes, nose, right cheek, upper right extremity, and other smaller bites all over her body. This case is another proof of child neglect, or a possible infanticide attempt, as the motives of leaving the child in a hut without proper care, are not cleared up to this date. Rodent bites could be associated with Streptobacillus moniliformis infection and rat-bite fever. If the bites are left untreated for hours, the infant may suffer from hypovolemic shock due to bleeding, a possible fatal situation. The emergency surgical treatment of wounds is of vital importance.

摘要

动物咬伤是可预防的创伤性损伤的主要原因之一。我们描述了一名8个月大女婴的病例,她被祖父带到急诊科,眼睛、鼻子、右脸颊、右上臂有严重的鼠咬伤口,全身还有其他较小的咬伤。该病例是儿童被忽视或可能存在杀婴企图的又一证据,因为将孩子留在小屋里且未给予适当照顾的动机至今仍不明确。鼠咬可能与念珠状链杆菌感染及鼠咬热有关。如果咬伤数小时不治疗,婴儿可能因出血而出现低血容量性休克,这可能是致命的情况。伤口的急诊手术治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5efd/8569684/f1d417a59ec1/cureus-0013-00000018493-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5efd/8569684/b09c005a49ae/cureus-0013-00000018493-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5efd/8569684/f1d417a59ec1/cureus-0013-00000018493-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5efd/8569684/b09c005a49ae/cureus-0013-00000018493-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5efd/8569684/f1d417a59ec1/cureus-0013-00000018493-i02.jpg

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Post-Mortem Dental Profile as a Powerful Tool in Animal Forensic Investigations-A Review.死后牙齿特征作为动物法医调查中的有力工具——综述
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本文引用的文献

1
Rat-Bite Fever in the United States: An Analysis Using Multiple National Data Sources, 2001-2015.美国的鼠咬热:一项利用多个国家数据源进行的2001 - 2015年分析
Open Forum Infect Dis. 2020 Jun 7;7(6):ofaa197. doi: 10.1093/ofid/ofaa197. eCollection 2020 Jun.
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Treatment and outcome of unusual animal bite injuries in young children.幼儿特殊动物咬伤的治疗与结局
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Infantile trauma due to a rat bite.鼠咬导致的婴儿创伤。
J Emerg Trauma Shock. 2011 Jul;4(3):409-10. doi: 10.4103/0974-2700.83873.
4
Rat bite fever, a fatal case of Streptobacillus moniliformis infection in a 14-month-old boy.鼠咬热,一名14个月大男童感染念珠状链杆菌的致命病例。
J Forensic Sci. 2011 Mar;56(2):531-3. doi: 10.1111/j.1556-4029.2010.01675.x. Epub 2011 Feb 9.
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Epidemiology of rodent bites and prediction of rat infestation in New York City.纽约市啮齿动物咬伤的流行病学及鼠患预测
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