The Bite That Keeps On Giving! - Page #1

Author: Alejandro Borrego, MD
Co Author #1: Eliot Young MD CHRISTUS Santa Rosa Sports Medicine Fellowship Director Sports Medicine Associates of San Antonio
Co Author #2: Timothy Palomera MD Sports Medicine Associates of San Antonio Faculty Professor
Co Author #3: Frank Pena, ATC Certified Athletic Trainer Trinity University, San Antonio,TX

Patient Presentation:
20 yr old university soccer player presents to the athletic trainers department after receiving a laceration to his left elbow. When asked about the incident, he explained that it occurred while attempting to hit the ball with a head butt. A 1-centimeter linear laceration was apparent along with the opponents tooth lodged in the wound. Thorough cleansing, and dressing was done and player returned to practice. 48 hours later (over the weekend) player returned because area around the laceration was now red and swollen. Topical antibiotic along with the wound care was provided. On day 4, player returns again with no improvement. Now complaining of a burning pain sensation for which he took ibuprofen, providing minimal pain relief. Patient denied any fevers or chills in the last couple of days. The Primary Care Sports Medicine team was contacted for evaluation.

Physical Exam:
On site examination showed a 1 cm scabbed laceration with surrounding macular vesicular rash in clusters, approximately 5cm in circumference. Case Photo #1 , Case Photo #2 , Case Photo #3
Vital signs were stable, no fever detected. No purulent material apparent in laceration.

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