Na Kyunghyun, Oh Byeong Ho, Lee JongBeom, Cho Min Jai, Lee MouSeop, Kim Hong Rye
Department of Neurosurgery, Chungbuk National University Hospital, Cheongju, Korea.
Korean J Neurotrauma. 2023 Dec 7;19(4):496-501. doi: 10.13004/kjnt.2023.19.e59. eCollection 2023 Dec.
Few cases of injuries caused by wild boars have been reported in the literature. Here, we present the case of a 64-year-old male patient who was attacked by a wild boar. The patient had a laceration to the right forehead and a penetrating wound in the area before the right auricle. Computed tomography scan revealed traumatic subarachnoid hemorrhage, subdural hemorrhage, right temporal lobe contusion hemorrhage, pneumocephalus, right zygomatic arch and temporal bone fracture, and right coronal process fracture of the mandible. Prophylactically, 2,000 mg of ceftriaxone and 400 mg of moxifloxacin were intravenously administered every 24 hours. An emergency craniectomy was performed because the skull fracture was an open fracture and control of the increased intracranial pressure was necessary. Inactivated Rabies Virus Vaccine was also administered postoperatively. We concluded that, unlike typical wounds from other traumatic causes, the risk of wound infection is higher. In order to reduce morbidity and mortality due to wild boar attacks, rapid stabilization of the patient's vital signs, prevention of infection with appropriate antibiotics, and surgical intervention at the appropriate time and method are necessary.
文献中报道的野猪致伤案例较少。在此,我们呈现一例64岁男性患者被野猪攻击的病例。患者右前额有一处裂伤,右耳廓前方区域有一贯通伤。计算机断层扫描显示创伤性蛛网膜下腔出血、硬膜下出血、右颞叶挫伤出血、气颅、右颧弓和颞骨骨折以及右下颌骨冠状突骨折。预防性地,每24小时静脉注射2000毫克头孢曲松和400毫克莫西沙星。由于颅骨骨折为开放性骨折且有必要控制颅内压升高,遂进行了急诊颅骨切除术。术后还接种了狂犬病灭活疫苗。我们得出结论,与其他创伤原因导致的典型伤口不同,伤口感染风险更高。为降低野猪攻击所致的发病率和死亡率,快速稳定患者生命体征、使用适当抗生素预防感染以及在适当时间采用适当方法进行手术干预是必要的。