DOI: 10.36347/sjams.2014.v02i06.109

Pages: 3393-3395

Human bite wounds may prove to be extremely disastrous due to the lethal pathogenicity of the complex oral flora. Inoculation of these microorganisms underneath the skin surface causes infection of varying intensities. An eight year old boy was admitted to emergency department with a chief complaint of pain and swelling around his eyes and forehead besides a scar due to a human bite over his left eye which already was sutured. This was happened during playing football with his friends. His friend’s tooth was crashed to his forehead and broken and left in his forehead, in the clinic they first had taken the tooth off and then washed the wound by normal saline solution and then sutured the wound .On examination, patient was conscious and oriented with stable vital signs. After initial evaluation we ordered a spiral CT-scan without contrast of orbit to investigate the details of problem. The CT-scan showed that both pre orbital spaces were affected by inflammation dominantly the left side. We referred him to a pediatric center to complete the management with diagnosis of periorbital cellulitis .He was not admitted at pediatric center and was discharged with empirical therapy with oral antibiotics and analgesics after removal the sutures of infected wound and washing with normal saline. .primary suturing of human bite wounds regard to high infection risk are not appropriate and it is better to leave for daily washing and then primary delayed suture.