Camel Bite Associated with Depressed Skull Fracture with Rapidly Spreading Subgaleal Cellulitis
Camel bite represents a minimal proportion, and most of them are from the Middle East countries. Their infectious potential is poorly understood, and the guidelines for antimicrobial treatment are not well developed. We describe a 40-year-old male, who works as a camel herder and was bitten by a cam...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2020/8393059 |
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| author | Shaymaa Al-Umran Ahmad Abdulfattah Faisal Alabbas Hosam Al-Jehani |
| author_facet | Shaymaa Al-Umran Ahmad Abdulfattah Faisal Alabbas Hosam Al-Jehani |
| author_sort | Shaymaa Al-Umran |
| collection | DOAJ |
| description | Camel bite represents a minimal proportion, and most of them are from the Middle East countries. Their infectious potential is poorly understood, and the guidelines for antimicrobial treatment are not well developed. We describe a 40-year-old male, who works as a camel herder and was bitten by a camel while he was tying it down which led to a unilateral depressed skull fracture and multiple bilateral teeth-puncture wounds in the scalp. He arrived to our emergency department 3 hours after injury. All the wounds were dry and the skin around them was healthy looking with no subcutaneous collections. CT scan of the head showed depressed skull fracture on the left temporal region. Within 12 hours, the patient developed spreading cellulitis in the scalp. This necessitated an urgent surgical intervention. The added challenge is the presence of a dural breach. Our patient presented a challenge at several levels. He presented early with clean puncture wounds that were treated according to the most agreed upon guidelines. But our novel finding of rapidly spreading cellulitis requires alteration of recommendation towards more aggressive therapeutic attitude including early surgical intervention, especially for those patients suspected of a dural tear with the depressed skull fracture, even if treated with appropriate antibiotics. |
| format | Article |
| id | doaj-art-59eb6fdceae449e3b30dcd60c7339788 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-59eb6fdceae449e3b30dcd60c73397882025-02-03T01:27:04ZengWileyCase Reports in Infectious Diseases2090-66252090-66332020-01-01202010.1155/2020/83930598393059Camel Bite Associated with Depressed Skull Fracture with Rapidly Spreading Subgaleal CellulitisShaymaa Al-Umran0Ahmad Abdulfattah1Faisal Alabbas2Hosam Al-Jehani3Department of Neurosurgery and Neurocritical Care, King Fahad Hospital of the University Dammam University, Al-Khobar, Saudi ArabiaDepartment of Neurosurgery and Neurocritical Care, King Fahad Hospital of the University Dammam University, Al-Khobar, Saudi ArabiaDepartment of Neurosurgery and Neurocritical Care, King Fahad Hospital of the University Dammam University, Al-Khobar, Saudi ArabiaDepartment of Neurosurgery and Neurocritical Care, King Fahad Hospital of the University Dammam University, Al-Khobar, Saudi ArabiaCamel bite represents a minimal proportion, and most of them are from the Middle East countries. Their infectious potential is poorly understood, and the guidelines for antimicrobial treatment are not well developed. We describe a 40-year-old male, who works as a camel herder and was bitten by a camel while he was tying it down which led to a unilateral depressed skull fracture and multiple bilateral teeth-puncture wounds in the scalp. He arrived to our emergency department 3 hours after injury. All the wounds were dry and the skin around them was healthy looking with no subcutaneous collections. CT scan of the head showed depressed skull fracture on the left temporal region. Within 12 hours, the patient developed spreading cellulitis in the scalp. This necessitated an urgent surgical intervention. The added challenge is the presence of a dural breach. Our patient presented a challenge at several levels. He presented early with clean puncture wounds that were treated according to the most agreed upon guidelines. But our novel finding of rapidly spreading cellulitis requires alteration of recommendation towards more aggressive therapeutic attitude including early surgical intervention, especially for those patients suspected of a dural tear with the depressed skull fracture, even if treated with appropriate antibiotics.http://dx.doi.org/10.1155/2020/8393059 |
| spellingShingle | Shaymaa Al-Umran Ahmad Abdulfattah Faisal Alabbas Hosam Al-Jehani Camel Bite Associated with Depressed Skull Fracture with Rapidly Spreading Subgaleal Cellulitis Case Reports in Infectious Diseases |
| title | Camel Bite Associated with Depressed Skull Fracture with Rapidly Spreading Subgaleal Cellulitis |
| title_full | Camel Bite Associated with Depressed Skull Fracture with Rapidly Spreading Subgaleal Cellulitis |
| title_fullStr | Camel Bite Associated with Depressed Skull Fracture with Rapidly Spreading Subgaleal Cellulitis |
| title_full_unstemmed | Camel Bite Associated with Depressed Skull Fracture with Rapidly Spreading Subgaleal Cellulitis |
| title_short | Camel Bite Associated with Depressed Skull Fracture with Rapidly Spreading Subgaleal Cellulitis |
| title_sort | camel bite associated with depressed skull fracture with rapidly spreading subgaleal cellulitis |
| url | http://dx.doi.org/10.1155/2020/8393059 |
| work_keys_str_mv | AT shaymaaalumran camelbiteassociatedwithdepressedskullfracturewithrapidlyspreadingsubgalealcellulitis AT ahmadabdulfattah camelbiteassociatedwithdepressedskullfracturewithrapidlyspreadingsubgalealcellulitis AT faisalalabbas camelbiteassociatedwithdepressedskullfracturewithrapidlyspreadingsubgalealcellulitis AT hosamaljehani camelbiteassociatedwithdepressedskullfracturewithrapidlyspreadingsubgalealcellulitis |