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Q. Can you verify if my child is receiving the correct treatment for monkey bite?

Answered by
Dr. Ashaq Hussain Parrey
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 03, 2017

Hello doctor,

A child, 2 years and six months old, was given the first two doses of Rabipur (anti-rabies vaccine) on the scheduled date, that is the zero and third day of the monkey bite. However, due to lack of knowledge, both the times, it was given in the gluteal region. The third dose was given on the deltoid area, and the fourth dose is due in three days. Kindly advice what is to be done further.

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#

Hello doctor,

I went through your post.

  • Your child had an animal bite, for which he is receiving post-exposure prophylaxis for rabies.
  1. Human rabies immunoglobulin is given (20 mcg/kg) around the injury site. 
  2. Anti-rabies vaccine (ARV) is given on day zero, three, seven and 14 in the deltoid area. In infants, it is given around the lateral side of the thigh. 
  • Your kid has received it in the gluteal area, which is generally avoided due to the contamination of the area. However, it is not less effective even if given there. So, you do not need to worry. Just complete the fourth dose, and everything will be alright.

For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician

Thank you doctor,

The fourth and fifth shot of anti-rabies vaccine has been received. My child has a hoarseness of voice from the last 30 days, without any other symptoms such as fever, cough, vomiting, etc. The local doctors prescribed some antibiotic, anti-allergy medicines. Kindly advice what to do further.

#

Hello, 

Welcome to icliniq.com.

You have taken five doses instead of four. You have been extra cautious. But, that is good. 

  • The hoarseness of voice in a young child is generally due to a sudden sharp cry which sometimes causes edema of the vocal cords. You can get an indirect laryngoscopy of the kid to have a look on the vocal cords by an ENT doctor. Try to train your kid to rest his vocal cords.
  • Antibiotics are not needed. However, for the time being, continue the antiallergic meds. It is usually a self-limiting condition and settles spontaneously.
  • Hoarseness of voice due to ARV is not known and less likely to be the cause.

Regards.

For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician


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