A 3-year-old boy from Vinh Phuc was attacked by two large German Shepherd dogs (about 25kg each) belonging to a neighbor. When he was admitted to the hospital, he was in a panic, crying, had many injuries on his head, face, groin, back, and legs, and was urinating blood.
The child was immediately given first aid, the wound was cleaned, painkillers were used, and tetanus and rabies shots were given. After the child underwent an ultrasound and X-ray to assess the extent of organ damage, doctors discovered that the child had a ruptured right kidney.
The child was ordered to undergo an abdominal CT scan with contrast injection to assess the extent of kidney damage. The results showed that the right kidney had broken into two pieces, with the contrast leaking into the perirenal space.
Doctor examines wound of child bitten by dog. (Photo: BVCC)
The doctor concluded that the child had a grade IV right kidney injury according to the ASST (renal injury classification table of the American Association for the Surgery of Trauma).
The patient was treated with an active regimen, including intravenous fluids, urinary catheter placement, monitoring urine color and quantity, using a combination of 3 antibiotics, pain relievers, and monitoring hemodynamics and blood oxygen saturation every hour on the first day.
On the second day of hospitalization, the child was transfused with 150ml of red blood cells of the same group, and continued to test for bleeding over time.
After 4 days of treatment, the child is now awake, has no fever, can eat, soft tissue wounds still have little fluid oozing out, abdomen is not distended, right flank pain when pressed, urine through catheter is clear.
MSc. Dr. Nguyen Duc Lan, Head of the Department of General Pediatric Surgery, Phu Tho Provincial Obstetrics and Pediatrics Hospital, assessed that this was a complicated case. Although the soft tissue injuries on the skin were not too severe, there was a serious closed abdominal injury (grade IV kidney rupture) that needed to be closely monitored and treated with emergency surgery if conservative treatment was ineffective.
A week earlier, the unit also admitted a 4-year-old patient from Vinh Phuc who was attacked by his grandfather's dog, bitten on the head and right arm. Upon admission, the child had multiple abrasions on his body, including two 3x2cm lacerations on his head, and two 3x8cm wounds on his elbow and right arm, bleeding heavily.
The child's wound was cared for, bandages changed, cleaned, and plasma irradiated daily, along with antibiotics and pain relievers. The child's wound was sutured after 5 days of treatment.
Currently, after 1 week of treatment, the child's condition is stable, the wound is dry, the child is eating well and is preparing to be discharged from the hospital.
From these two cases, doctors recommend that parents and caregivers should closely monitor children and not let them play with dogs or cats, especially strange dogs or large dogs or cats. When children are bitten or injured by dogs, cats or wild animals, they should be taken to medical facilities immediately for examination, consultation and treatment.
At the same time, dog and cat owners also need to fully vaccinate their pets and have them re-vaccinated annually according to veterinary recommendations; dogs and pets must not be let loose on the street. If dogs and pets are taken out on the street, they must be muzzled to avoid attacking others.
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