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Packing a Punch: Fight Bite Induced Septic Joint.

Mohammad Anzal Rehman¹, Mohammad Issa Naser², Omnia B Ali³

¹Emergency Department, Mediclinic City Hospital, Dubai, ARE.

|November 30, 2022

Summary

Fight bites, often appearing minor, can lead to severe infections if not properly managed. Prompt recognition and antibiotic treatment are crucial for preventing deep tissue damage and joint/bone infections from these hand injuries.

Keywords:

antibiotic prophylaxis fight bite flexor tenosynovitis septic arthritis wound care

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Area of Science:

Orthopedic Surgery
Infectious Diseases
Emergency Medicine

Background:

Fight bites are common human bite injuries, often affecting the metacarpophalangeal joints.
These injuries can present deceptively, masking deeper infections.

Observation:

A 33-year-old female presented with a three-week-old fight bite injury.
Initial presentation mimicked a flexor sheath infection.

Findings:

Investigation revealed a septic metacarpophalangeal joint infection.
The infection had progressed to involve underlying bones.

Implications:

Highlights the critical need for thorough assessment of fight bite injuries in the Emergency Department.
Emphasizes the risks of delayed or inadequate management, including severe joint and bone infections.
Underscores the importance of prompt antibiotic treatment for all fight bite injuries.