Cases reported "Bites and Stings"

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1/141. Benign idiopathic partial epilepsy and brain lesion.

    A 14-year-old girl had severe head trauma from a dog bite at the age of 9 days. This resulted in extensive brain damage, tetraplegia, mental retardation, and epilepsy. The seizures were of rolandic type, and the EEG showed multifocal sharp waves. The course was benign. The initial diagnosis of a pure symptomatic epilepsy was revised after demonstrating typical benign focal sharp waves in the EEG of the healthy sister. Thus a phenocopy of a benign partial epilepsy by the brain lesion could be excluded with sufficient certainty. This observation allows the conclusion that the genetic disposition underlying the sharp-wave trait characteristic of benign partial epilepsies can be involved also in the pathogenesis of seemingly pure symptomatic epilepsies. EEG studies on siblings of such patients are needed to exclude possible phenocopies.
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2/141. pasteurella multocida meningitis and septic arthritis secondary to a cat bite.

    Animal bites are seen almost daily in the emergency department, and the majority heal without complication. pasteurella multocida is frequently the causative organism of localized wound infections and cellulitis in this patient population. P. multocida infection is usually associated with close contact with pets, such as dogs and cats, that harbor this organism as normal oral flora. meningitis and septic arthritis are very rare sequelae of P. multocida infection. This case report presents a patient with P. multocida bacteremia, meningitis, and septic arthritis developing together as a complication of a cat bite.
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3/141. Hemolytic uremic syndrome due to capnocytophaga canimorsus bacteremia after a dog bite.

    The hemolytic uremic syndrome (HUS) is known to have several causes, including infectious diseases, drugs, pregnancy, and malignant disease. We report a patient who developed acute renal failure attributable to HUS in the course of capnocytophaga canimorsus bacteremia. Acute tubular necrosis as well as HUS should be considered as a cause of acute renal failure in the setting of capnocytophaga canimorsus bacteremia.
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4/141. Lycanthropy in depression: two case reports.

    Two cases of lycanthropy presenting as part of a depressive disorder are described. The patients responded favorably to pharmacotherapy. In both cases, a positive history of dog bite influenced the presentation of symptoms. The authors speculate whether the defense of identification with the aggressor was operative.
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5/141. Pulmonary thromboembolism following calf cellulitis: report of an unusual complication of dog bite.

    We report a case of a 75-year-old woman who died of pulmonary thromboembolism following a dog bite to the calf. The bite caused laceration of the skin and gangrenous cellulitis of leg soft tissues. Six days after hospitalization, the patient died suddenly, despite early antibiotic and heparin administration. Postmortem examination revealed extensive thrombosis of the deep veins of the calf and massive thromboembolism of the main pulmonary arteries.
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6/141. Dog pack attack: hunting humans.

    Dog bite-related fatalities, although unusual, accounted for 304 deaths in the united states between 1979 and 1996 and 6 fatalities in canada between 1994 and 1996. Fatal dog pack attacks and attacks involving human predation are less common. The following describes a dog pack attack on a family of four involving 2 fatalities with predation of the victims. Factors previously identified that contribute to pack attacks and predation, including prior group hunting, social feeding, territorial defense, lack of human interaction, and prey stimuli, are discussed.
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7/141. Seroepidemiology of bartonella vinsonii subsp. berkhoffii infection in california coyotes, 1994-1998.

    The prevalence of antibodies to bartonella vinsonii subsp. berkhoffii in coyotes (Canis latrans) in california ranged from 51% in central to 34% in southern and 7% in northern california. Seropositive coyotes were more likely to be from coastal than inland counties (p clustered distribution of bartonella seropositivity in coyotes suggests that B. vinsonii subsp. berkhoffii infection is vectorborne. Further investigation is warranted to evaluate which arthropods are vectors and what the mode of transmission is from wildlife to domestic dogs and possibly humans.
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8/141. Dog-bite injuries to the breast in children: deformities to secondary sex characteristics and their repair in an extended follow-up.

    Injuries from dog bites are not uncommon among children. However, the site of the wound is rarely on the breast. The authors report two cases of nipple-areolar injuries caused by dog bites. The affected children were followed during the development of secondary sex characteristics. In one child, this follow-up period was more than 10 years. In treating such wounds to the breast, subsequent growth of the nipple-areolar complex should be considered, particularly in girls because of the area's importance as a secondary sex characteristic.
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9/141. Unilateral comminuted and complicated fracture of the mandible due to dog attack.

    Fractures of the mandible and their management are discussed in detail in textbooks and articles dealing with facial trauma. This paper presents the management and treatment of a case of a unilateral comminuted and complicated fracture of the mandible due to dog attack on a geriatric patient. The attack also severed the patient's right arm. Due to the severity of the trauma, an emergency surgery was performed on the mandible and arm.
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10/141. Mandibular fracture resulting from dog bite: report of a case.

    The diagnosis and management of a fractured mandible of a 4-year old child has been presented. A brief review of the literature is given. The remarkable aspect of the case is its reported cause of dog bite. The patient was managed conservatively by closed reduction, and use of Oliver loops. The maxillomandibular fixation was lost on the 11th postoperative day. At that time, no mandibular deviation or limitation of movement was noted. Further immobilization was not deemed necessary. During a three-month follow-up period, no complications occurred.
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