Abstract
A female in her forties was bitten and scratched on her face by her house cat. She presented with several deep bite wounds on the forehead and left upper eyelid, which seemed to have been caused by the cat's bite. At the first visit, we washed the wounds thoroughly and administered the antibiotics cefozopran and clindamycin. In spite of the crush wounds and extensive ulceration in her upper eyelid, we sutured roughly using only key sutures with nylon thread and closed the wounds of the eyelid in combination with skin flaps without debridement. Swelling and redness of the eyelid and discharge of pus were observed on the third day, so we removed only two stitches and washed the wounds under the flaps every day. After Pasteurella multocida was detected by bacterial culture, we changed the antibiotics to levofloxacin and then the redness and pus discharge regressed. Seven months after injury, a slight scar remained; however, functionally and cosmetically satisfactory results were obtained. Although it is generally recommended that bite wounds be treated as open wounds, this case shows that bite wounds on the face could be partially closed early after injury with careful observation in order to obtain cosmetically good results.Skin Research, 12: 438-441, 2013
