A 28-year-old man was attacked by a large female tiger at an exotic an
imal farm, sustaining penetrating injuries to the neck and pharynx as
well as a cervical spine fracture. This case and review of the literat
ure demonstrates the ability of these animals to cause significant tra
uma and occult injuries, Furthermore, this case demonstrates the need
for a high index of suspicion when treating these patients, as serious
underlying bony and soft tissue damage can easily be overlooked.