Scratches and bite wounds very often lead to a fatal septicemia if not treated aggressively. The patient should be evaluated for its overall condition and treated appropriately for blood loss or hypotension. The extent of wounds should be evaluated. If the patient’s condition allows, wounds should be thoroughly flushed and fractures stabilized. Aggressive antibiotics should be begun early in treatment. Piperacillin or cefotaxime combined with amikacin or tobramycin are a good choice and should be continued for a minimum of 5 days is indicated in these cases. If septicemia is suspected treatment for septic shock should be instituted (intravenous fluids, rapid acting steroids, and intravenous bactericidal antibiotics).