Microsurgical scalp reconstruction after a mountain lion attack

Annals of Plastic Surgery
Ron HazaniDarrell Brooks

Abstract

Mountain lion attacks on humans are rare and potentially fatal. Although few victims experience minor injuries, permanent disfigurement and disability is common among survivors of these assaults. Since 1986, a steady number of mountain lion attacks have been noted in California. We report a recent attack of a cougar on a couple hiking in California's Prairie Creek Redwoods State Park. The victim sustained a significant scalp injury that led to a life-threatening soft-tissue infection. We present an analysis of the injury pattern as it relates to the bite marks, the resulting degloving injury, and the surgical reconstruction. We also offer a current survey of the pathogens often found in cats' and mountain lions' bite wounds and the appropriate antibiotic treatment. Given the infrequency at which clinicians encounter mountain lion injuries, we recommend that after initial management and exclusion of life threatening injuries patients be transferred to a tertiary care facility capable of managing the various reconstructive challenges such as the one presented in this case.

References

Sep 1, 1990·The American Journal of Forensic Medicine and Pathology·S D CohleG Harlan
Jan 1, 1982·The Journal of Hand Surgery·M S AronsI M Polayes
Apr 1, 1997·Pediatrics in Review·V F Garcia
Jul 11, 1998·Journal of Pediatric Surgery·K M KadeskyK Atkinson
Jan 14, 1999·The New England Journal of Medicine·D A TalanE J Goldstein
Dec 22, 1999·Antimicrobial Agents and Chemotherapy·R N GreenbergR W Pectol
May 2, 2001·The Nurse Practitioner·M G Bower
Oct 25, 2006·Journal of Surgical Oncology·Babak J MehraraAndrea Pusic
May 6, 2008·Plastic and Reconstructive Surgery·Rudolf F BunticCharles K Lee

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Citations

May 28, 2014·Wilderness & Environmental Medicine·Suzanne M ShepherdWilliam H Shoff
Jul 23, 2013·Surgical Neurology International·Carlos F DabdoubFelipe Molina
Feb 24, 2016·Journal of the Korean Association of Oral and Maxillofacial Surgeons·Indu Bhusan KarBikas Ranjan Mahavoi
Sep 11, 2019·The Journal of Craniofacial Surgery·Mehmet DadaciBilsev Ince

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