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Cureus2024; 16(8); e66571; doi: 10.7759/cureus.66571

Prevotella bivia Infection of a Horse Bite Wound.

Abstract: Horse bites are common non-fatal injuries in the United States. Infections of horse bite wounds in humans are usually due to bacteria that correspond to the oropharyngeal bacterial flora of horses. We report the novel case of a 25-year-old woman who sustained a horse bite wound that was infected with , a Gram-negative, non-pigmented anaerobe. We discuss the epidemiology, bacteriology, and clinical management of horse bites.
Publication Date: 2024-08-10 PubMed ID: 39258094PubMed Central: PMC11385074DOI: 10.7759/cureus.66571Google Scholar: Lookup
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Summary

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Horse bites can lead to infections caused by specific bacteria found in horses’ mouths. This report presents a unique case of a horse bite wound infected by Prevotella bivia, highlighting its clinical implications and treatment.

Introduction

  • Horse bites are relatively common injuries in the United States, although they rarely lead to fatal outcomes.
  • Infections from horse bites typically involve bacteria that are part of the normal oral flora of horses.
  • This case report focuses on an unusual infection caused by Prevotella bivia, a Gram-negative anaerobic bacterium not commonly associated with horse bites.

Case Presentation

  • A 25-year-old woman sustained a bite wound from a horse.
  • The wound became infected, prompting clinical evaluation and microbiological testing.
  • Laboratory cultures isolated Prevotella bivia, a Gram-negative, non-pigmented anaerobic bacterium, confirming it as the causative agent of the infection.

Bacteriology and Epidemiology

  • Prevotella bivia is part of the anaerobic bacterial flora but is rarely reported in infections following animal bites.
  • Horse oral microbiota generally includes a diverse array of bacteria capable of causing infections in bite wounds.
  • The identification of Prevotella bivia in this context suggests a broader spectrum of pathogens implicated in horse bite infections than previously recognized.

Clinical Management

  • Management of horse bite wounds involves prompt wound cleaning and appropriate antibiotic therapy targeting both aerobic and anaerobic bacteria.
  • Identifying Prevotella bivia influences antibiotic choice since anaerobic coverage is necessary for effective treatment.
  • Awareness of such atypical infections is critical to ensure timely diagnosis and prevent complications.

Conclusion

  • This novel case highlights Prevotella bivia as a potential infectious agent in horse bite wounds.
  • Clinicians should consider a broad range of bacterial pathogens, including anaerobes, when treating horse bite wound infections.
  • Thorough microbial assessment and tailored antimicrobial therapy are key to successful clinical outcomes.

Cite This Article

APA
Barton JC, Eisenberg AL. (2024). Prevotella bivia Infection of a Horse Bite Wound. Cureus, 16(8), e66571. https://doi.org/10.7759/cureus.66571

Publication

ISSN: 2168-8184
NlmUniqueID: 101596737
Country: United States
Language: English
Volume: 16
Issue: 8
Pages: e66571
PII: e66571

Researcher Affiliations

Barton, James C
  • Department of Medicine, University of Alabama at Birmingham, Birmingham, USA.
  • Southern Iron Disorders Center, Brookwood Baptist Medical Center, Birmingham, USA.
Eisenberg, Alexis L
  • Department of Nursing, Veterans Administration Medical Center, Birmingham, USA.

Conflict of Interest Statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

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