Domestic donkey (Equus africanus asinus) bites: An unusual aetiology of severe scalp injuries in Morocco

Introduction: The African donkey (Equus africanus asinus) is employed for manual work in many African countries. Donkey bites are an uncommon cause of injury in children, but when they occur, can cause severe injuries to particularly the scalp.Case report: Three cases of injury to the scalp in children caused by donkey bites are described, one of which involved the skull.Discussion: The bite of a donkey is rare aetiology of scalp injuries. Special features of these injuries, including a literature review, are discussed focusing on the care of these patients in the emergency centre, describing the surgical procedures required and antibiotic choice. Recommendations for the management of donkey bite scalp injuries are provided.