On March 23, a 4-year-old child was bitten by a domestic dog on the head and right arm, causing significant injuries. The child was rushed to the Department of General Pediatric Surgery at Phu Tho Obstetrics and Pediatrics Hospital. Doctors recommended that parents and caregivers keep children away from dogs and cats, especially strange or large animals. If a child is injured by a dog, cat, or wild animal, immediate medical attention should be sought for treatment and vaccination. Dog owners should ensure their pets are fully vaccinated and re-vaccinated annually as recommended by the veterinary industry. It is also important to keep dogs and pets off the streets to prevent attacks on others.
A week later, on April 1, another young child received emergency attention after being attacked by two Beagle dogs from a neighbor’s house while playing in his backyard. Each dog weighed about 25 kg and caused significant damage to the child’s right kidney, resulting in critical condition. Upon admission to the hospital, the patient was panicked with many wounds on his head, face, groin, back, and legs. Children received first aid, wound cleaning, tetanus vaccination, rabies vaccination, ultrasound assessment of kidney damage and X-ray evaluation of bone fractures. The baby was placed with a urinary catheter to monitor urine color and quantity as well as hemodynamics and blood oxygen saturation levels. On the second day of hospitalization, the child received transfusion of packed red blood cells due to severe dehydration caused by blunt abdominal trauma. After four days of treatment including antibiotics for sepsis prevention as well as pain management medication; the baby woke up without fever but still had some fluid seeping through bandages on soft tissue wounds in his groin area where he sustained blunt trauma from falling down during attack; his abdomen was not distended; there was no pain in left flank area; his urine became clearer indicating kidney function improvement but still had some protein present due to nephrotic syndrome caused by kidney injury; Dr Lan assessed that this case required emergency surgery if conservative treatment does not work due to severity of blunt abdominal trauma leading to acute kidney injury which may require dialysis support post operation .
