In the ED, their vitals/exam are as above. No concern for progression of the bite to cellulitis/abscess. No susicion for fungal infection given skin changes are not in intertriginous areas or necrotizing fasciitis as the patient’s pain not out of portion, rest of exam is not consistent with necrotizing fasciitis, and the patient is not diabetic. However, given bat exposure with no ability for testing of that bat, will proceed as below.
– Labs/Tests: None
– Imaging: None
– Treatments: Tetanus UTD, Rabies antibody into wound, Rabies vaccine (Day 0) into arm opposite of wound
– Consults: None
– Dispo: Likely discharge with PCP/ED follow-up for subsequent doses of rabies vaccine at day 3/7/14