Case Report

Camel Bite Associated with Depressed Skull Fracture with Rapidly Spreading Subgaleal Cellulitis

Table 1

Common organisms and sensitive regimens.

AnimalOrganismAntibioticPenicillin allergicSuturing

DogsPasteurella dagmatis, P. canis, Staphylococcus aureus, S. intermedius, Streptococci, Moroxella spp, Neisseria spp, Clostridium spp (including Clostridium tetani), Anaerobes spp.AugmentinMoxifloxacinAll (except hands)
CeftinClindamycin 300 mg PO q6 h × 5 d

CatsPasteurella multocida, mixed aerobes and anaerobesAugmentinMoxifloxacin
CeftinClindamycin 300 mg PO q6 h × 5 d

RodentsStreptobacillus moniliformis, Spirillumminus, Salmonella sppNo needRarely needed

Cows, horses, camelsPolymicrobial, Actinobacillus sppAnimalAnimalFace (as needed)

MonkeysMixed aerobes and anaerobes, Streptococci, Neissria spp, Haemophilus influenzae, Herpes simiae (B virus)Keflex 250–500 mg PO q6 h × 5 dErythromycinNo need
DicloxacillinTMP-SMX

HumansViridans streprococci, S.pyogenes, S.aureus, Anaerobes, Eikenella corrodens, hepatitis B and C, HIVAugmentin 500 mg PO q12 h × 5 dMoxifloxacin 400 mg q24 h × 5 dFace (as needed)
Ceftin 250–500 mg PO bid × 5 dTMP-SMX 160 mg PO bid × 5 d