injuries poisoning
Alligator, Crocodile, Iguana, and Venomous Lizard Bites
Alligators and crocodiles
Alligator and crocodile bites usually result from handling; however, rarely, native encounters occur. Bites are not venomous, are notable for a high frequency of soft-tissue infections byAeromonasspecies (usuallyAeromonas hydrophila), and are generally treated as major trauma. Wounds should be irrigated and debrided; then delayed primary closure can be done or the wounds allowed to heal by secondary intention. Optimal antibiotic coverage may includetrimethoprim/sulfamethoxazole, a fluoroquinolone, a 3rd-generation cephalosporin, an aminoglycoside, or a combination. Additionally, patients can be treated preventively withclindamycinandtrimethoprim/sulfamethoxazole (first choice) ortetracycline. 