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A Rare Presentation of Donkey Bites Involving the Cheek and Ear: A Case Report and Literature Review

Although animal bites account for a fair number of emergency department visits, donkey bites account for a very limited proportion. A 12-year-old boy presented to our department with a severe donkey bite involving his face. The injury included his left cheek with a laceration of the left ear cartila...

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Autores principales: Zeaiter, Nancy, Maassarani, Deoda, Aoun, Charbel B, Ghanime, George, Sleiman, Ziad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10174633/
https://www.ncbi.nlm.nih.gov/pubmed/37182069
http://dx.doi.org/10.7759/cureus.37446
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author Zeaiter, Nancy
Maassarani, Deoda
Aoun, Charbel B
Ghanime, George
Sleiman, Ziad
author_facet Zeaiter, Nancy
Maassarani, Deoda
Aoun, Charbel B
Ghanime, George
Sleiman, Ziad
author_sort Zeaiter, Nancy
collection PubMed
description Although animal bites account for a fair number of emergency department visits, donkey bites account for a very limited proportion. A 12-year-old boy presented to our department with a severe donkey bite involving his face. The injury included his left cheek with a laceration of the left ear cartilage. The examination revealed no serious morbidity (no vascular or nerve involvement). The patient received prophylactic antibiotics and anti-rabies/anti-tetanus vaccination. The wound was cleaned thoroughly with copious irrigation. Afterward, the patient underwent surgery to correct the defect in the cheek using a rotational advancement cervicofacial flap, while the penetrated ear cartilage was repaired and the skin margins were approximated and sutured. During the follow-up period, no complications were observed and the functional and cosmetic outcomes were satisfactory. Donkey bites are rarely encountered and they can result in different presentations and morbidities/outcomes. It is suggested that the timing from the bite injury to presentation, the stage/extent of the bite, the use of anti-tetanus and anti-rabies vaccines, and the prophylactic use of antibiotics may play a role in determining the outcomes and/or complications of donkey bites.
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spelling pubmed-101746332023-05-12 A Rare Presentation of Donkey Bites Involving the Cheek and Ear: A Case Report and Literature Review Zeaiter, Nancy Maassarani, Deoda Aoun, Charbel B Ghanime, George Sleiman, Ziad Cureus Emergency Medicine Although animal bites account for a fair number of emergency department visits, donkey bites account for a very limited proportion. A 12-year-old boy presented to our department with a severe donkey bite involving his face. The injury included his left cheek with a laceration of the left ear cartilage. The examination revealed no serious morbidity (no vascular or nerve involvement). The patient received prophylactic antibiotics and anti-rabies/anti-tetanus vaccination. The wound was cleaned thoroughly with copious irrigation. Afterward, the patient underwent surgery to correct the defect in the cheek using a rotational advancement cervicofacial flap, while the penetrated ear cartilage was repaired and the skin margins were approximated and sutured. During the follow-up period, no complications were observed and the functional and cosmetic outcomes were satisfactory. Donkey bites are rarely encountered and they can result in different presentations and morbidities/outcomes. It is suggested that the timing from the bite injury to presentation, the stage/extent of the bite, the use of anti-tetanus and anti-rabies vaccines, and the prophylactic use of antibiotics may play a role in determining the outcomes and/or complications of donkey bites. Cureus 2023-04-11 /pmc/articles/PMC10174633/ /pubmed/37182069 http://dx.doi.org/10.7759/cureus.37446 Text en Copyright © 2023, Zeaiter et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Zeaiter, Nancy
Maassarani, Deoda
Aoun, Charbel B
Ghanime, George
Sleiman, Ziad
A Rare Presentation of Donkey Bites Involving the Cheek and Ear: A Case Report and Literature Review
title A Rare Presentation of Donkey Bites Involving the Cheek and Ear: A Case Report and Literature Review
title_full A Rare Presentation of Donkey Bites Involving the Cheek and Ear: A Case Report and Literature Review
title_fullStr A Rare Presentation of Donkey Bites Involving the Cheek and Ear: A Case Report and Literature Review
title_full_unstemmed A Rare Presentation of Donkey Bites Involving the Cheek and Ear: A Case Report and Literature Review
title_short A Rare Presentation of Donkey Bites Involving the Cheek and Ear: A Case Report and Literature Review
title_sort rare presentation of donkey bites involving the cheek and ear: a case report and literature review
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10174633/
https://www.ncbi.nlm.nih.gov/pubmed/37182069
http://dx.doi.org/10.7759/cureus.37446
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