A 26-year-old healthy doctoral candidate was doing research in the university laboratory when she was bitten on the finger by one of the rats she was handling. She comes to your office seeking guidance.
In healthy individuals, it is acceptable to wait and watch for uncomplicated bites for up to 3 weeks before starting a penicillin-based antibiotic. Symptoms to look for include fever, vomiting, headache, muscle pain, joint pain, and rash. The organism to be covered is Streptobacillus moniliformis.
Differential Diagnosis: Spirillum minus organisms are seen in Asian rodent bites and Pasteurella multocida are seen with dog bites. Tetanus shots are recommended if not up to date.Outcome of the case: The patient was given a penicillin-based antibiotic and had an uneventful complete recovery continuing her doctoral thesis work.