Mismanagement of cat bite wound: lessons to learn

作者：Leelavathi M^*; Aishah M A Siti; Wong Y P; Jamil A

来源：Clinica Terapeutica, 2013, 164(3): 225-227.

DOI：10.7417/CT.2013.1553

• sporotrichosis
• sporotrichoid
• sporothrix

Animal inflicted wounds, left untreated may result in chronic bacterial or fungal infection. Clinical features of these infections may overlap leading to a delay in diagnosis and treatment. We report a case of chronic non-healing cat bite wound treated with several antibiotics without improvement. Later patient developed the classical "sporotrichoid spread" and a presumptive diagnosis of sporotrichosis was made. Laboratory investigation for fungal culture and skin biopsy failed to identify the underlying pathogen. A trial of oral antifungal agent resulted in complete recovery of the lesions implicating fungus as the causative pathogen. Physicians should have a high index of suspicion for fungal infections when managing animal inflicted wounds.

• 出版日期2013