Stephen J. Schueler, M.D.

Overview Incidence Symptoms Evaluation Treatment specialist Home Care pain and fever adults pain and fever children warning signs Outlook Complications Underlying Cause

Rat Bite Fever Home Care

Home care for rat bite fever includes:

  • Clean the bite:
    • Use mild soap and water.
    • Running water can help remove dirt.
    • Gently dab the bite with hydrogen peroxide to remove clotted blood.
    • Do not scrub the bite.
    • Remove dirt or foreign material from the bite.
    • Clean the bite 3 times a day
  • Apply antibiotic ointment.
  • Cover the wound:
    • Use gauze or an elastic bandage.
  • Keep the bite clean and dry.
  • Rest the injured area.
  • Elevate the injured area.
  • Acetaminophen for pain
  • Nonsteroidal anti-inflammatory medications for pain:
  • Take prescribed medications as directed.

Rat Bite Fever Pain and Fever Adults

Medications commonly used to control pain and fever in adults with rat bite fever include:

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.





NSAID Precautions

Rat Bite Fever Pain and Fever Children

Common medications used at home for pain and fever in children with rat bite fever include:

Aspirin and most of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care.

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.
  • Do not exceed the maximum daily dose.
  • Acetaminophen products come in various strengths. Always follow the package instructions.
  • Avoid this drug in children with liver disease or an allergy to acetaminophen.
  • Common acetaminophen products include Tylenol, Panadol and many others.



Rat Bite Fever Warning Signs

Continue to Rat Bite Fever Outlook

Last Updated: Jan 3, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Rat Bite Fever References
  1. Centers for Disease Control and Prevention (CDC). Rat-bite fever--New Mexico, 1996. MMWR Morb Mortal Wkly Rep. 1998 Feb 13;47(5):89-91. [9480409]
  2. Graves MH, Janda JM. Rat-bite fever (Streptobacillus moniliformis): a potential emerging disease. Int J Infect Dis. 2001;5(3):151-5. [11724672]
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