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Francesca Tocchioni, Simone Pancani, Catherine P. James, Antonio Messineo, Marco Ghionzoli
(Department of Emergency, Critical Care and Pediatric Surgery, Meyer Childrens’ Hospital – University of Florence, Florence, Italy)
Med Sci Case Rep 2014; 1:33-35
Wild boar attacks against humans are very rare events. Few attacks against humans have been described, none of those against a child. Animal bite wounds are often complicated with infection which increases the risk of a poor cosmetic outcome, however their management remains controversial. We present a case of wild boar injury in a child who sustained a wide laceration on the posterior aspect of the left thigh.
Case Report: A 6-year-old male child injured by a wild boar’s protruding tusk presented with subcutaneous tissue laceration on the posterior aspect of the left thigh. The wound was treated in the operating room. Tetanus booster was given 3 months before the event. Initial antibiotic therapy with ceftriaxone and clindamycin was given. On the 3rd day the child was discharged home with clean wound on oral antibiotics. Ten days later the child was seen in the hospital for a mild infection on the wound side. Clindamycin and amoxicillin clavulanate were given for a total of 15 and 21 days respectively.
Conclusions: When a wild animal bite wound occurs, a thorough high-pressure saline irrigation, careful debridement of the wound and broad spectrum antibiotics with both aerobic and anaerobic cover should be administered. When wild animal bite wounds occur in children a primary closure is always advocated, particularly in head and neck injuries.
Keywords: Bites and Stings, Surgical Wound Dehiscence, Surgical Wound Infection, Sus scrofa