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The patient is a 38-year-old female who presents with persistent pain in her left thumb. She explains that she was bitten approximately 2 months prior. There is redness and swelling to the proximal phalanx area. The patient is febrile.

View the x-ray and consider what your diagnosis and next steps would be. Resolution of the case is described on the next screen.

Figure 1.
A 38-Year-Old Female with Persistent Pain Months After Being Bitten