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Case Reports
. 2021 Oct 4;9(10):e04915.
doi: 10.1002/ccr3.4915. eCollection 2021 Oct.

Treatment of phalangeal osteomyelitis caused by a cat bite

Ji WooK Kim  1 , Joo Yong Kim  2 , Uk Gwan Kim  1 , Dong Hee Kang  1 , Doo Sik Kim  1 , Ju Deok Kim  1
Affiliations
Case Reports

Treatment of phalangeal osteomyelitis caused by a cat bite

Ji WooK Kim et al. Clin Case Rep. .

Abstract

In the case of a cat bite patient, even if the external wound is small, prophylactic antibiotics should be used early and a closed observation is needed. If symptoms persist, deep infection should be considered.

Keywords: cat bites; debridement; deep infection; osteomyelitis; prophylactic antibiotics.

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Conflict of interest statement

“The authors declare no competing interests.”

Figures

FIGURE 1
FIGURE 1
The loss of normal trabecular bone architecture and focal cortical loss (white arrow) on the volar side of the head of the 2nd middle phalanx was observed in the anterior‐posterior (A) and lateral radiographs (B) taken at 2 months after injury
FIGURE 2
FIGURE 2
In sagittal (A) and coronal view (B) of MRI, 0.3 × 0.3 cm sized abscess (red arrow) with bone marrow edema and soft tissue inflammatory changes on the volar side of the head of the 2nd middle phalanx was observed
FIGURE 3
FIGURE 3
(A) There were infected granulation tissues along the flexor tendon and partial tendon rupture caused by the teeth of a cat. (B) Under flexor tendon, there was a bony defect in volar side of the middle phalanx. Massive debridement of abscess and infected tissue was performed. (C) The wound was primarily repaired after A4 pulley repair
FIGURE 4
FIGURE 4
Recovery of the bony defect (white arrow) was observed in the anterior‐posterior (A) and lateral radiographs (B) of the 2nd middle phalanx taken at one year after operation. Range of motion of distal interphalangeal joint also restored to the normal range
See this image and copyright information in PMC

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