Document Type : Case Report


1 1. Department of Surgery, Faculty of Medicine Health Sciences, University Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia

2 3Department of Plastic Reconstructive Surgery, Hospital Putrajaya, Putrajaya, Malaysia.

3 Reconstructive Sciences Unit, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia


BACKGROUND: Dog and cat bites are the most common animal bites in humans. Lizard bites are rare and can cause significant morbidity. There are over 3000 species of lizards, but only two are venomous and medically significant. Larger lizards have been reported to bite humans, but no cases have been documented for smaller geckos. This case report aims to raise awareness of the potential threat posed by smaller lizards, especially in children.
CLINICAL CASE: A 2-year-old child was bitten on the left ear by a gecko, resulting in multiple lacerations. After primary assessment and stabilization, the wound was irrigated and dressed with a Bat's ear dressing. Intravenous antibiotics were administered, and the wound was sutured 5 days later. The child was discharged with oral antibiotics to complete for a total of 1 week.
DISCUSSION: Lizard bites can cause significant morbidity, especially in children. While geckos are not poisonous, they can defend themselves with their teeth and cause harm. The Gila monster and Mexican beaded lizards are the only venomous species. Management of lizard bites is similar to other animal bites, with wound irrigation being crucial. Antibiotic prophylaxis should be considered on a case-by-case basis. Delayed primary closure may be an option for wound management.
CONCLUSIONS: This case report highlights the need for awareness and appropriate management of lizard bites.


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