Short story. On Monday my wife took one of our cats to the vet for irritable bowel syndrome. Unfortunately, the only vet tech available couldn't handle the cat on the examination table and she asked my wife to help hold the cat still.
My wife placed her right hand at the scruff of the cat's neck, after which our cat reached back and bit her on the right index finger between the knuckle and first joint. Wife showed up at my office a little pissed wielding an upset cat (in pet carrier) and complaining of the bite to her finger. The vet had bandaged it for her.
That night she complained of localized pain and I observed some swelling. She has a fairly low tolerance for pain, so my standard reply is/was "rub a little dirt on it, it'll be better in the morning".
On Tuesday she had a doctor's appointment for foot pain (she owns a dance studio). Doctor glanced at her hand and proptly forgot about the foot. X-ray showed that the infection was moving up her arm along the tendon. Orthopedist splinted the finger/hand/wrist, perscribed heavy dose of Cipro and told her to come back in the morning.
The next morning we drove to the doctor. Doc unwraps the arm at which point I noticed my wife's finger from first joint to the palm area was swollen to ~3x natural size.
Immediately moved to surgical center where general anesthesia was admin'd, 2" incisions made along bite area into upper palm, debrided, drained, tendon scraped, irrigated, stitched up. She's on heavy dose of Cipro, Lorotab for pain, Phenergan for nausea.
She'll survive (obviously), but we're both a bit wiser to the common oral flora ALL house cats carry in their saliva. Our cat isn't diseased, this is something all cats carry.
Keep in mind that not all bites will result in this, but heavy bites to the fingers and around finger joints are especially problematic due to descreased bloodflow to the area. Less bloodflow allows bacteria to set to work rather quickly.
I hate doctors and don't take antibiotics. In this particular instance my wife, by accident, made a wise decision to see one. It may have saved her hand and other related severe health problems.
Just an FYI folks.
Take Care,
Rob