TY -的A2 -桑切斯佩雷斯,赫克托耳哈维尔盟——Al-Umran Shaymaa AU -法塔赫,Ahmad盟——Alabbas费萨尔盟——Al-Jehani Hosam PY - 2020 DA - 2020/05/25 TI -骆驼咬与头骨碎裂迅速蔓延较少的蜂窝织炎SP - 8393059六世- 2020 AB -骆驼咬代表一个很小的比例,和他们中的大多数来自中东国家。人们对它们的感染潜力了解甚少，抗菌治疗的指导方针也没有很好地制定出来。我们描述了一名40岁的男性，他是一名骆驼牧民，在拴骆驼时被骆驼咬伤，导致单侧凹陷颅骨骨折，并在头皮上有多处双侧牙齿穿刺伤口。他受伤3小时后被送到我们的急诊室。所有的伤口都是干燥的，伤口周围的皮肤看起来很健康，没有皮下积液。头部CT扫描显示左侧颞区颅骨凹陷骨折。12小时内，患者出现头皮蜂窝织炎。这就需要进行紧急外科手术。另外一个挑战是硬膜破裂的存在。我们的病人在几个层面上都面临挑战。 He presented early with clean puncture wounds that were treated according to the most agreed upon guidelines. But our novel finding of rapidly spreading cellulitis requires alteration of recommendation towards more aggressive therapeutic attitude including early surgical intervention, especially for those patients suspected of a dural tear with the depressed skull fracture, even if treated with appropriate antibiotics. SN - 2090-6625 UR - https://doi.org/10.1155/2020/8393059 DO - 10.1155/2020/8393059 JF - Case Reports in Infectious Diseases PB - Hindawi KW - ER -