1887
Volume 2025, Issue 4
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Severe animal attacks by large predators, such as lions, are rare but devastating, often resulting in life-threatening injuries. These cases require immediate surgical intervention because of the complexity and severity of the injury. This report describes the multidisciplinary management of an adolescent who sustained extensive trauma following a pet-lion attack.

A 17-year-old male was brought to the emergency department by his father after a pet lion attack. He sustained severe injuries to the scalp, chest, arms, and face, along with a depressed skull fracture and pneumocephalus. He underwent emergent surgery involving dural repair with autologous temporalis fascia and cranial reconstruction using titanium mesh by the neurosurgery team, alongside extensive soft tissue debridement and layered closure by plastic surgeons. Postoperative care included broad-spectrum antibiotics, tetanus and rabies prophylaxis, and early physical therapy. The patient remained hospitalized for 5 days, during which he showed steady improvement and was discharged with preserved neurological function and well-healed surgical sites.

Animal attacks pose unique challenges in trauma care due to the complexity of injuries, high risk of infection, and the need for extensive reconstructive procedures. This case highlights the importance of a collaborative, multidisciplinary approach for managing such injuries and achieving optimal functional and aesthetic outcomes.

Complex serious traumas in different locations of the body, especially craniofacial trauma. In this case, timely intervention and coordinated care resulted in a favorable outcome, with preserved neurological function and successful wound healing. This underscores the importance of rapid, comprehensive treatment and highlights the need for preventive measures to reduce the risk of such devastating injuries.

Loading

Article metrics loading...

/content/journals/10.5339/qmj.2025.123
2025-12-15
2025-12-16

Metrics

Loading full text...

Full text loading...

/deliver/fulltext/qmj/2025/4/qmj.2025.123.html?itemId=/content/journals/10.5339/qmj.2025.123&mimeType=html&fmt=ahah

References

  1. Larson G, Karlsson EK, Perri A, Webster MT, Ho SYW, Peters J, et al.. Rethinking dog domestication by integrating genetics, archeology, and biogeography. Proc Natl Acad Sci U S A. 2012 May 109:: 8878–83. https://doi.org/10.1073/PNAS.1203005109
    [Google Scholar]
  2. Cherniack EP, Cherniack AR. The benefit of pets and animal-assisted therapy to the health of older individuals. Curr Gerontol Geriatr Res. 2014 Nov 2014:: 623203. https://doi.org/10.1155/2014/623203
    [Google Scholar]
  3. David Fernández RA, Richards N, San Andrés Larrea MI, Dieste VB, Curiel PB. The paradox of keeping exotic animals as pets. Stud Ecol Bioeth. 2025 Mar 23:: 17–30. https://doi.org/10.21697/SEB.5848
    [Google Scholar]
  4. Turkmen S, Alinier G, Elmoheen AM, Qureshi AA, Ponappan BR, Majed K, et al.. Injuries related to pets, exotic animals, and falconry in Qatar. Qatar Med J. 2023 Nov; 2023:(4):27. https://doi.org/10.5339/QMJ.2023.27
    [Google Scholar]
  5. Bombieri G, Penteriani V, Almasieh K, Ambarlı H, Ashrafzadeh MR, Das CS, et al.. A worldwide perspective on large carnivore attacks on humans. PLoS Biol. 2023 Jan 21:e3001946. https://doi.org/10.1371/JOURNAL.PBIO.3001946
    [Google Scholar]
  6. Dabdoub C, Dabdoub C, Chavez M, Molina F. Survival of child after lion attack. Surg Neurol Int. 2013 Jun 4:77. https://doi.org/10.4103/2152-7806.113317
    [Google Scholar]
  7. Hazani R, Buntic RF, Brooks D. Microsurgical scalp reconstruction after a mountain lion attack. Ann Plast Surg. 2008 Sep 61:265–8. https://doi.org/10.1097/SAP.0B013E318160DFF1
    [Google Scholar]
  8. Chhabra S, Chhabra N, Gaba S. Maxillofacial injuries due to animal bites. J Maxillofac Oral Surg2015 Jun; 14::142–53. https://doi.org/10.1007/S12663-013-0593-5
    [Google Scholar]
  9. Abrahamian FM, Goldstein EJC. Microbiology of animal bite wound infections. Clin Microbiol Rev. 2011 Apr 24:231–46. https://doi.org/10.1128/CMR.00041-10
    [Google Scholar]
  10. Rahman MT, Sobur MA, Islam MS, Ievy S, Hossain MJ, Zowalaty MEE, et al.. Zoonotic diseases: etiology, impact, and control. Microorganisms. 2020 Sep 8:1405. https://doi.org/10.3390/MICROORGANISMS8091405
    [Google Scholar]
  11. Evgeniou E, Markeson D, Iyer S, Armstrong A. The management of animal bites in the United Kingdom. Eplasty. 2013 Jun 13:e27. https://pmc.ncbi.nlm.nih.gov/articles/PMC3681434/[Accessed 23 Jun 2025]
    [Google Scholar]
  12. Cummings P. Antibiotics to prevent infection in patients with dog bite wounds: a meta-analysis of randomized trials. Ann Emerg Med. 1994 Mar 23:535–40. https://doi.org/10.1016/S0196-0644(94)70073-7
    [Google Scholar]
  13. Khoubfekr H, Rahmanian V, Jokar M, Balouchi A, Pourvahed A. Epidemiological analysis of cases of animal bite injuries at Rabies Prevention Centers affiliated with Iranshahr University of Medical Sciences. J Prev Med Hyg. 2025 Jan 65:E491–8. https://doi.org/10.15167/2421-4248/JPMH2024.65.4.3246
    [Google Scholar]
  14. Fooks AR, Banyard AC, Horton DL, Johnson N, McElhinney LM, Jackson AC. Current status of rabies and prospects for elimination. Lancet. 2014 Oct 384:1389–99. https://doi.org/10.1016/S0140-6736(13)62707-5
    [Google Scholar]
  15. World Health Organization . WHO Expert Consultation on Rabies third report. 2018;www.who.int/bookorders[Accessed 23 Jun 2025]
    [Google Scholar]
  16. Pascual FB, McGinley EL, Zanardi LR, Cortese MM, Murphy TV . Tetanus surveillance--United States, 1998--2000. MMWR Surveill Summ. 2003 Jun 52:1–8.
    [Google Scholar]
  17. Dong R-P, Zhang Q, Yang L-L, Cheng X-L, Zhao J-W. Clinical management of dural defects: A review. World J Clin Cases. 2023 May 11:2903–15. https://doi.org/10.12998/WJCC.V11.I13.2903
    [Google Scholar]
  18. Sekhar LN, Sarma S, Morita A. Dural reconstruction with fascia, titanium mesh, and bone screws: technical note. Neurosurgery. 2001 Sep 49:749–52. https://doi.org/10.1097/00006123-200109000-00043
    [Google Scholar]
  19. The National . UAE approves new regulations about owning dangerous animals. https://www.thenationalnews.com/uae/uae-approves-new-regulations-about-owning-dangerous-animals-1.837974[Accessed 23 Jun 2025]
    [Google Scholar]
/content/journals/10.5339/qmj.2025.123
Loading
/content/journals/10.5339/qmj.2025.123
Loading

Data & Media loading...

  • Article Type: Case Report
Keyword(s): degloving injurylarge feline petlion attacksplastic surgeryQatar and scalp degloving
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error