Human Bites in Rural Kenya

Eyre, Sintra; Carson, Bonnie L.; Johnson, Barry

doi:10.1177/004947558601600207

Cited by 1 publication

(2 citation statements)

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“…There were six 9,18,26,35–37 primary injuries to the thorax with two fatalities, 18,35 the only case of isolated abdominal injury proved fatal, 9 and all cases involving only limb injuries survived. 20,22,24,28,38–41…”

Section: Resultsmentioning

confidence: 99%

“…There were six 9,18,26,[35][36][37] primary injuries to the thorax with two fatalities, 18,35 the only case of isolated abdominal injury proved fatal, 9 and all cases involving only limb injuries survived. 20,22,24,28,[38][39][40][41] Pooled data from all cats: Pattern of injury themes An attack confined solely above the clavicles was the most common injury pattern (Table 1, Group C) (Figure 3). Of the eight patients who sustained only limb injuries, four were results of captive events 28,38 or attempts to engage the animal.…”

Section: Key Characteristics Of Study Population and Exposuresmentioning

confidence: 99%

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Traumatic injury patterns in humans from large feline predators: A systematic review and descriptive analysis

Kirtland

Tremoleda

Trivedy

2022

Trauma

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Background Traumatic attacks from large feline predators cause a small yet significant burden of disease in rural populations, are increasing in frequency, cause complex injuries and worsen human–wildlife conflicts. Data on the traumatic injury pattern found in victims of these animals is sparse, and this study aimed to collate and synthesise patterns of injury to inform the care and management of these patients. Methods A multi-ethnographic literature search (PubMed, Embase, Web of Science, Google Scholar, and other sources) was performed on 12/1/21 to capture all available data describing anatomical injury and the mechanism of injury sustained by humans from attacks by lions, leopards and tigers. Quality and bias assessment was performed using the Joanna Briggs Critical Evaluation tools. Results Of 5110 studies identified, 42 were included in this review totalling 84 individual patient cases. A total of 85% of fatal injuries were due to exsanguination combined with neuroaxis injury of the neck. All wounds were susceptible to tissue loss, infection and long-term neuro-vascular complications. Leopards injured anterior-midline structures of the neck more often than did lions and tigers, while the latter caused high-energy fractures. Time lag to treatment for survivors of wild attacks extended to multiple days, and occult injury was common. Conclusion In addition to the primary finding of complex neck injury, this study generated specific patterns of injury seen from the included species and highlighted occult injury and healthcare disparity as challenges in providing patient care.

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