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Malawi Medical Journal
College of Medicine, University of Malawi and Medical Association of Malawi
ISSN: 1995-7262
Vol. 21, No. 1, 2009, pp. 29-31
Bioline Code: mm09009
Full paper language: English
Document type: Case Report
Document available free of charge

Malawi Medical Journal, Vol. 21, No. 1, 2009, pp. 29-31

 en Ward round - Crocodile bites in Malawi: microbiology and surgical management
Wamisho, Biruk L.; Bates, Jes; Tompkins, Marc; Islam, Raneem; Nyamulani, Noha; Ngulube, Chistopher & Mkandawire, Nyengo C.


We present a case series of 5 patients admitted over 5 months to Queen Elizabeth Central Hospital who had sustained injuries from a crocodile bite. Three patients required amputation of a limb. The severe soft tissue injury associated with a crocodile bite and the unusual normal oral flora of the crocodile create challenges in treatment. Progressive tissue destruction and haemolysis are complications of such infected wounds. An antibiotic regime is recommended that covers gram negative rods, anaerobes and may include doxycycline, as well as the need to have a low threshold for early amputation.

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