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5. "क्या बंदर के काटने के 3 साल बाद रेबीज हो सकता है?"
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Infectious Illnesses
Question #10233
355 days ago
547

5. "क्या बंदर के काटने के 3 साल बाद रेबीज हो सकता है?"

Praveen

हैलो डॉक्टर, मुझे स्वास्थ्य को लेकर चिंता रहती है। मुझे 3 साल पहले एक बंदर ने काट लिया था, और यहाँ के सरकारी अस्पताल ने मुझे ग्लूटियल (कूल्हे) क्षेत्र में इंट्रामस्क्युलर इंजेक्शन के माध्यम से रेबीज वैक्सीन की 3 खुराक दी थी। लेकिन अब मैं बहुत चिंतित महसूस कर रहा हूँ। मैंने कहीं पढ़ा कि उस क्षेत्र में दी गई रेबीज वैक्सीन बहुत प्रभावी नहीं होती। मैंने यह भी पढ़ा कि रेबीज का इन्क्यूबेशन पीरियड 6 साल तक हो सकता है। इसलिए मुझे डर लग रहा है कि शायद वैक्सीन ने सही से काम नहीं किया।

Age: 22
Chronic illnesses: Rabies phobia
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Doctors' responses

Rabies can indeed have a long incubation period in some cases, although most commonly the disease manifests within a few weeks to months after exposure. Still, your concern about the location of the vaccine administration is quite valid because the World Health Organization recommends the vaccine be given in the deltoid region of the arm, or in the thigh for infants. The gluteal region is generally avoided as the fat content can affect absorption, weakening its efficacy. However, it’s equally important to note that you were given the recommended series of vaccine doses. In practice, if you had no rabies symptoms three years post-exposure, it’s very unlikely you would develop rabies related to that incident. Rabies symptoms typically start with fever, headache, and general weakness, progressing to neurological signs and eventually becoming fatal once they appear. The absence of these over such a long period is reassuring, but your health anxiety is understandable. It might be helpful for you to consult with an infectious disease specialist or have a discussion with your general practitioner for peace of mind. They could potentially arrange for serological testing to assess your current immunity status, or possibly offer a booster dose if needed, which is a standard precautionary measure in some cases. The key point is not to panic, since the risk is minimal at this juncture. In any case, prioritizing mental health and addressing anxiety through counseling or therapy can be beneficial alongside consulting your healthcare provider to address any lingering worries.

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