I don't post very often, mostly flurk around in the crohn's and UC sites. (I was diagnosed with UC in 2003.) I happened to see Sarita's post, since I have a siamese cat and I loves cats.
I'm not trying to butt in and tell you what to do, Sarita, but if I were you, I'd see a doctor, as cat bites can be very dangerous, and you say you have puncture wounds and your face is already swollen.
See this website with photos of someone's infected finger from a cat bite.
"Cat bites are notoriously prone to becoming infected. See below what happened just four days after one individual was bitten by a 20 year old cat."
I hope you're OK. Your boy Sarge sounds like quite the character! Our siamese has also been howling every night, usually between 3 a.m. - 4 a.m. - doesn't make for a good night's sleep, that's for sure!