A fit and well 30-year-old woman attended her local ED 24 hours after being bitten on the right index finger while feeding a kangaroo at a petting zoo.

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A fit and well 30-year-old woman attended her local ED 24 hours after being bitten on the right index finger while feeding a kangaroo at a petting zoo.

On review, the bite was small and the wound looked clean. She was given a tetanus booster, as per local guidelines, with safety-net advice to return if symptoms worsened. She returned 24 hours later with worsening severe right shoulder pain radiating to her elbow joint.