Seemingly inconsequential yet catastrophic: the importance of wound washout with minute depressed skull fracture from a dog bite

Josue D. Ordaz, Nichole H. Chicoine, John J. Manaloor, Salma M. Bakr, Jeffrey S. Raskin*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Depressed skull fractures from dog bites are common pediatric head injuries which are contaminated with native skin and canine oral flora. Outcomes can potentially be catastrophic. Thus, these injuries require proper initial management to prevent future complications. We present an 18-month-old female who was bitten by a Great Dane dog and resulted in a small left temporal depressed skull fracture with an underlying brain contusion. This was initially treated conservatively with antibiotics and bedside irrigation. Five weeks later, she developed a large multiloculated abscess with mass effect, which required surgical aspiration and wound debridement. After long-term antibiotics, she made a full neurologic recovery. Our case illustrates the importance of washing out a seemingly inconsequential depressed skull fracture from a dog bite to avoid development of a cerebral abscess.

Original languageEnglish (US)
Pages (from-to)669-672
Number of pages4
JournalChild's Nervous System
Volume38
Issue number3
DOIs
StatePublished - Mar 2022
Externally publishedYes

Keywords

  • Brain abscess
  • Case report
  • Comminuted fractures
  • Dog bite
  • Pasteurella

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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