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[Sticky] Cat Bite


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(@michael)
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Yes — cat bites can be evaluated through telemedicine, but whether they can be fully treated virtually depends on the wound and your symptoms. Because cat bites have a high risk of infection (due to deep puncture wounds), clinicians are often cautious and may recommend in-person care in many cases.

Here’s what to expect.

✅ What telemedicine can usually do

During a virtual visit, a clinician can:

  • Review how and when the bite occurred

  • Look at the wound via video/photos

  • Check your symptoms (pain, swelling, fever, redness, pus)

  • Review your tetanus status and medical history

  • Assess risk for Pasteurella or other serious infections

  • Prescribe antibiotics when appropriate (often amoxicillin-clavulanate)

  • Give wound-care instructions

  • Advise whether urgent in-person care is needed

Telemedicine is most appropriate for:

  • Minor, shallow bites or scratches

  • Bites that occurred within the past 24 hours

  • No spreading redness, swelling, or drainage

  • No fever, weakness, or severe pain

⚠️ Cat bites often need in-person evaluation if ANY of the following apply

Seek urgent care / same-day in-person treatment if:

  • Bite is on the hand, wrist, face, or near a joint

  • Deep puncture wound

  • Increasing redness, warmth, swelling, or pus

  • Fever, chills, severe pain

  • Numbness or reduced movement

  • Bite from a stray or unknown vaccination status cat

  • You are diabetic, immunocompromised, or on steroids

  • The bite occurred >24 hours ago

In-person care may be needed for:

  • Wound irrigation

  • Possible X-ray (foreign body, joint involvement)

  • Rabies risk assessment and vaccination if indicated

  • Tetanus booster

  • IV antibiotics for severe infection

💊 What treatment a telemedicine provider may prescribe

Case-by-case, if appropriate:

  • Amoxicillin-clavulanate (first-line for most cat bites)

  • Alternatives if allergic to penicillin

  • Pain relief & wound care instructions

They’ll also advise:

  • Washing the wound gently with soap and water

  • Avoiding closure of puncture wounds unless directed

  • Monitoring closely for worsening symptoms

  • Report your bite to local animal control as this is required in many states

🚨 Go to ER or urgent care immediately if you notice

  • Rapidly spreading redness or streaking

  • Severe swelling or loss of motion

  • Fever or chills

  • Bite to the hand with worsening pain

  • Signs of infection within 12–24 hours

Cat bite infections can progress quickly — early treatment matters.


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