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बंदर के काटने और चोट लगने के बाद की संभावित चिंताएँ
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Infectious Illnesses
Question #29055
144 days ago
448

बंदर के काटने और चोट लगने के बाद की संभावित चिंताएँ

Client_87810a

एक हफ्ते पहले मुझे एक बंदर ने दौड़ाया, मैं कूद गया और मेरी टांग टूट गई। मुझे उस वक्त कुछ महसूस नहीं हुआ, लेकिन कुछ सेकंड बाद दर्द हुआ। और तीन दिन बाद मेरे कंधे पर एक काला निशान दिखा। मुझे नहीं पता कि ये बंदर के काटने का निशान है या नहीं। लेकिन मैं बाएं कंधे पर नहीं गिरा था। मेरा शक है कि मैंने 3-4 घंटे बाएं कंधे पर सोया और अगले दिन मैंने काला निशान देखा। जब मैंने उसे छुआ तो वो पाउडर जैसा खुरदुरा महसूस हुआ। अब 7 दिन हो गए हैं और निशान अंडाकार है, बाहर से काले टांकों जैसा और अंदर सफेद त्वचा है। लेकिन पहले दिन से लेकर अब तक मुझे उस निशान पर कुछ महसूस नहीं हुआ जब तक कि मैंने कपड़े नहीं उतारे। शक के बावजूद मैं वैक्सीन लेना चाहता हूं, लेकिन मेरे माता-पिता कह रहे हैं कि ये शायद बंदर की खरोंच है। मुझे कुछ डॉक्टरों की राय चाहिए ताकि मैं निश्चिंत हो सकूं। और अगर संभव हो तो मुझे बंदर के काटने के कुछ दिनों बाद और रेबीज से पहले के लक्षण बताएं।

How would you describe the pain level of your shoulder bruise?:

- No pain

Have you noticed any other symptoms since the incident?:

- Fever

Have you had any previous vaccinations for rabies or other related conditions?:

- No, never had any vaccination
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Doctors' responses

This is a medical urgency. Please take this seriously.

Here’s what you need to know, point by point:

· Monkey bites/scratches are high risk for rabies. Rabies is 100% fatal once symptoms appear, but preventable if treated early.

· You have fever. Fever after potential animal exposure is a red flag. It may be unrelated, but it cannot be ignored.

· You are unsure if it was a bite or scratch. Even a scratch from a monkey can transmit rabies. The black mark on your shoulder—especially if you did not fall on it—could be the entry point.

· Symptoms of rabies take weeks to months to appear. Early symptoms are vague: fever, headache, tingling at wound site. Once neurological symptoms start (confusion, agitation, hydrophobia), it is too late.

· You have never received rabies vaccine. This means you need post-exposure prophylaxis (PEP) : rabies vaccine + possibly rabies immunoglobulin (RIG) depending on the wound category.

· Your parents’ advice is dangerous. There is no way to know if the monkey was rabid without testing it. Waiting for symptoms is not an option.

What you must do now:

· Go to an emergency department or anti-rabies clinic today (within 24 hours ideally). · Tell them: monkey exposure 7 days ago, unknown if bite or scratch, now fever + bruise on shoulder. · Bring someone with you if possible to support you. · Your leg fracture also needs evaluation if not already treated.

Do not delay. Rabies prevention is time-sensitive.

Dr. Nikhil Chauhan

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Hello It sounds like you’ve had quite an experience! Let’s break down your situation:

### Your Symptoms 1. Broken Leg: You mentioned jumping to escape a monkey and feeling pain after a few seconds. It’s good that you got that checked out. 2. Bruise on Left Shoulder: The bruise appearing after sleeping on that side could be due to pressure or minor trauma, especially if you didn’t fall on it. The rough surface you feel could be related to the bruise itself or a skin reaction. 3. Concern About Monkey Bite: If you suspect a monkey scratch or bite, it’s important to take it seriously due to the risk of rabies.

### Rabies and Monkey Bites - Symptoms of Rabies: After a bite or scratch from an animal that may carry rabies, symptoms can take weeks to months to appear. Early symptoms may include: - Fever - Headache - General weakness or discomfort - Itching or pain at the site of the bite - Anxiety or confusion

As the disease progresses, more severe symptoms can develop, including: - Agitation - Hallucinations - Hydrophobia (fear of water) - Paralysis

### Recommendations 1. Seek Medical Attention: Given your concerns about a possible monkey bite, it’s crucial to see a healthcare provider as soon as possible. They can assess the bruise and determine if you need a rabies vaccine or any other treatment. 2. Vaccination: If there is any suspicion of a rabies exposure, getting the rabies vaccine is important. Rabies is almost always fatal once symptoms appear, but it is preventable if treated promptly after exposure. 3. Monitor Your Bruise: Keep an eye on the bruise for any changes. If it becomes more painful, swollen, or shows signs of infection (like increased redness, warmth, or pus), seek medical help.

### Conclusion It’s understandable to feel anxious about this situation, but getting a professional opinion will help you relax and ensure you receive the appropriate care. Don’t hesitate to reach out to a doctor for a thorough evaluation.

Thank you

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The situation you’re describing involves several factors that need careful consideration. If you suspect a monkey bite or scratch, it’s crucial to address the potential risk of rabies, as monkeys can transmit the virus if they’re infected. Not all monkey bites lead to rabies, but since rabies is almost always fatal once symptoms appear, it’s a condition where precaution outweighs other considerations. Rabies symptoms generally don’t show immediately—they can take weeks or even months to develop, starting with fever, headache, and discomfort near the site of the bite. If you have any suspicion or visible marks that make you think a monkey bite or scratch occurred, seeking rabies post-exposure prophylaxis (PEP) is the advised course of action. It is better to err on the side of safety. The black bruise on your shoulder sounds more like a bruise or hematoma and less like a bite, especially if there’s no pain or classic puncture marks typically seen with bites. Sometimes, bruises can look unusual initially but they generally follow a pattern where colors start dark, shifting to greens and yellows as they heal. Powdered rough surfaces aren’t specifically indicative of animal bites, but if there’s any doubt, an examination by a healthcare provider would provide clarity. Given the complexity and serious nature of possible rabies exposure, if there’s any question in your mind, it’s best to speak with a healthcare professional as soon as possible. They can evaluate the bruise, determine if PEP is necessary, and help monitor other injury sites such as your fractured leg. Always follow up promptly with any unusual symptoms like changes in sensation, color, or discomfort, as these might denote complications or the onset of an infection. Keep in mind self-treatment is not recommended when rabies is a concern, due to the seriousness of the virus.

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Hello dear See as per clinical history it seems bruise only Usually after monkey bite there is Scratch Mild injury Absence of bruising In case of salivary exposure you need to take anti rabies vaccination However as per history It seems no exposure do there is no need for vaccination However for bruise kindly observe for Swelling Deformity Pain if unbearable Absence of change of colour within 3-5 days In case you need to consult general surgeon Hopefully iam clear with your query Regards

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Your mark sounds more like a bruise than a monkey bite, but if there is any doubt about a possible scratch or saliva contact, it is still safest to take the rabies vaccine such as Rabies vaccine. It can be started even 7 days after the incident.

Why this likely isn’t a bite: A monkey bite or scratch usually causes pain, a visible break in the skin, bleeding, or a scab soon after the event. A painless black oval mark that appeared days later, especially after injury and sleeping on that side, is much more consistent with a bruise (hematoma) from trauma or pressure.

Symptoms that can appear a few days after a real bite or scratch (before rabies): These are usually local wound symptoms, not rabies itself: • Pain, redness, swelling, or warmth at the bite/scratch site • Pus or discharge • Fever or swollen lymph nodes • Increasing tenderness around the wound

Early rabies symptoms (typically weeks to months later, not days): • Fever, headache, body aches • Tingling or burning at the bite site • Anxiety, restlessness, difficulty swallowing

Having fever now is more likely related to your fracture, inflammation, or another infection, but it should be monitored.

Bottom line: • Your description strongly suggests a bruise, not a bite. • However, if you are unsure whether the monkey touched, scratched, or licked your skin, getting the rabies vaccine is the safest way to relax and prevent risk.

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2 replies
Client_87810a
Client
144 days ago

I want to take the vaccine but my parents saying font worry it’s not a monkey bite.

If there is any doubt that the monkey may have scratched or bitten you, it is safer to take the Rabies vaccine.

If you are 100% sure the skin was never broken and it is just a bruise, then the vaccine is usually not needed.

If your parents remain hesitant, a practical step is to visit a local doctor or emergency department together for an examination. A clinician can document whether the skin was broken and advise officially—this often reassures families.

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Given your description, the mark on your shoulder is most likely a bruise (hematoma) from the fall or pressure while sleeping, especially since it is painless, appeared after a few days, and has not worsened—this pattern is typical of bruising and not of an animal bite or scratch. However, because this incident involved a monkey (a potential rabies carrier) and you are not 100% sure there was no scratch or bite, medical safety guidelines are very clear: if there is any doubt, you should take the rabies vaccine as soon as possible—even after 7 days, it is still effective and recommended.

For your understanding: a monkey bite/scratch usually causes immediate pain, broken skin, redness, or bleeding at the time of contact, which you did not notice. Early rabies symptoms (days to weeks later) are fever, tingling or burning at the wound site, weakness, headache, anxiety, and later more severe neurological symptoms. Importantly, rabies symptoms do NOT start as a silent, painless bruise, so your current mark does not look like a rabies-related wound.

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