{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:40:06Z","timestamp":1756291206107,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,9,7]]},"abstract":"<jats:p>All animal bites have the potential to cause significant infection. In the UK, dogs are the most common source of bites. Incidence of hospital attendances attributable to dog bites has risen over the last decade. Patient groups at particular risk of bites and\/or complications of infection include those at extremes of age, immunosuppressed and patients with diabetes. We report the case of a patient with diabetic peripheral neuropathy, who was admitted on two separate occasions with unprovoked bites to his toes whilst asleep, by his pet dog. He ultimately required terminalisation of the affected digits. Although unusual, this mechanism of injury has been previously described in literature. However, we are unaware of cases reporting multiple separate incidences involving the same patient and animal. We present this case to highlight the perils of untrained pet ownership in diabetic patients with peripheral neuropathy and the importance of prompt medical and surgical treatment of injuries.<\/jats:p>","DOI":"10.1136\/bcr-2017-221773","type":"journal-article","created":{"date-parts":[[2017,9,23]],"date-time":"2017-09-23T05:05:21Z","timestamp":1506143121000},"page":"bcr-2017-221773","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Dog bites and diabetic peripheral neuropathy: a dangerous combination"],"prefix":"10.1136","volume":"2017","author":[{"given":"Mussa","family":"Mensa","sequence":"first","affiliation":[{"name":"Welsh Centre for Burns and Plastic Surgery, Abertawe Bro Morgannwg University Health Board, Swansea, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan James","family":"Cubitt","sequence":"additional","affiliation":[{"name":"Welsh Centre for Burns and Plastic Surgery, Abertawe Bro Morgannwg University Health Board, Swansea, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Javed","sequence":"additional","affiliation":[{"name":"Welsh Centre for Burns and Plastic Surgery, Abertawe Bro Morgannwg University Health Board, Swansea, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Bragg","sequence":"additional","affiliation":[{"name":"Welsh Centre for Burns and Plastic Surgery, Abertawe Bro Morgannwg University Health Board, Swansea, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,9,23]]},"reference":[{"key":"2025082703054939000_2017.sep21_1.bcr-2017-221773.1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39105.659919.BE"},{"key":"2025082703054939000_2017.sep21_1.bcr-2017-221773.2","unstructured":"The Health and Social Care Information Centre. HES on Dog Bites. 2012 http:\/\/content.digital.nhs.uk\/catalogue\/PUB06338\/hes-on-dog-bite.pdf (accessed 11 Feb 2017)."},{"key":"2025082703054939000_2017.sep21_1.bcr-2017-221773.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2005.02.007"},{"key":"2025082703054939000_2017.sep21_1.bcr-2017-221773.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-2391(98)90009-X"},{"key":"2025082703054939000_2017.sep21_1.bcr-2017-221773.5","first-page":"p1567","article-title":"Prevention and treatment of dog bites","volume":"63","author":"Presutti","year":"2001","journal-title":"Am Fam Physician"},{"key":"2025082703054939000_2017.sep21_1.bcr-2017-221773.6","doi-asserted-by":"publisher","DOI":"10.1016\/0190-9622(95)90296-1"},{"key":"2025082703054939000_2017.sep21_1.bcr-2017-221773.7","unstructured":"Medical Research Council. Diabetes: Facts and stats. 2015 https:\/\/www.mrc.ac.uk\/documents\/pdf\/diabetes-uk-facts-and-stats-june-2015\/ (accessed 13 Feb 2017)."},{"key":"2025082703054939000_2017.sep21_1.bcr-2017-221773.8","doi-asserted-by":"publisher","DOI":"10.1177\/0141076814557301"},{"key":"2025082703054939000_2017.sep21_1.bcr-2017-221773.9","doi-asserted-by":"crossref","first-page":"275","DOI":"10.7547\/1010275","article-title":"Human Digit Partially Consumed by a Canine During Sleep in a Patient with Neuropathy and Diabetes","volume":"101","author":"Rogers","year":"2011","journal-title":"J Am Podiatr Med Assoc"},{"key":"2025082703054939000_2017.sep21_1.bcr-2017-221773.10","doi-asserted-by":"publisher","DOI":"10.7547\/1030441"},{"key":"2025082703054939000_2017.sep21_1.bcr-2017-221773.11","unstructured":"Bates C . The Daily Mail: Health . Diabetic woman has leg amputated after\u00a0terrier chews off her infected\u00a0toe. 2011 (accessed 13 Feb 2017)."},{"key":"2025082703054939000_2017.sep21_1.bcr-2017-221773.12","doi-asserted-by":"publisher","DOI":"10.1016\/0031-9384(90)90332-X"},{"key":"2025082703054939000_2017.sep21_1.bcr-2017-221773.13","unstructured":"National Institute for Health and Care Excellence. Bites\u2013animal and human. London: Clinical Knowledge Summaries\u2013CKS, 2013."},{"key":"2025082703054939000_2017.sep21_1.bcr-2017-221773.14","unstructured":"Health Protection Agency. Animal bites and Pasteurella multocida: information for healthcare staff. London: HPA, 2006c."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-221773","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:05:58Z","timestamp":1756289158000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-221773"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,23]]},"references-count":14,"alternative-id":["10.1136\/bcr-2017-221773"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-221773","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,9,23]]}}}