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बंदर से मुठभेड़ के बाद चोट को लेकर चिंता
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Infectious Illnesses
Question #29060
145 days ago
378

बंदर से मुठभेड़ के बाद चोट को लेकर चिंता

Client_87810a

मैंने यह सवाल कई बार पूछा है और डॉक्टर के जवाब और आश्वासन के लिए धन्यवाद देता हूँ। मैं कुछ और पूछना चाहता हूँ। कृपया मेरे चोट के विवरण को ध्यान से पढ़ें जो बीच के पैराग्राफ में है। एक हफ्ते पहले एक बंदर ने मेरा पीछा किया, मैं कूदा और मेरी टांग टूट गई। मुझे तुरंत कुछ महसूस नहीं हुआ, लेकिन कुछ सेकंड बाद महसूस हुआ और तीन दिन बाद मेरे कंधे पर एक काला निशान दिखा। मुझे नहीं पता कि यह बंदर के काटने का निशान है या नहीं। लेकिन मैं बाएं कंधे पर नहीं गिरा था। मेरा संदेह है कि मैंने 3-4 घंटे बाएं कंधे पर सोया और अगले दिन मैंने काला निशान देखा, जब मैंने उसे छुआ तो वह पाउडर जैसा खुरदुरा महसूस हुआ। अब 7 दिन हो गए हैं, निशान अंडाकार है और उसके बाहरी हिस्से पर काले धागे जैसे निशान हैं और अंदर सफेद त्वचा है। लेकिन पहले दिन से लेकर सातवें दिन तक मुझे उस निशान पर कुछ महसूस नहीं हुआ जब तक कि मैंने कपड़े नहीं उतारे। और बंदर के पीछा करने के 4 दिन बाद मैंने निशान को केवल काले खुरदुरे पाउडर की तरह देखा, कोई काटने या खरोंच का निशान नहीं देखा। और अब 7 दिन बाद वह काला निशान गिर गया और सफेद त्वचा जैसा बन गया और उसके चारों ओर काले धागे जैसे निशान हैं। संदेह के बावजूद मैं वैक्सीन लेना चाहता हूँ लेकिन मेरे माता-पिता कह रहे हैं कि यह शायद बंदर की खरोंच है। मुझे कुछ डॉक्टरों की प्रतिक्रिया चाहिए ताकि मैं आराम कर सकूँ।

How severe was the injury to your shoulder?:

- No pain, just a bruise

Have you noticed any other symptoms since the incident?:

- Fever

Have you had any previous issues with bruising or skin reactions?:

- No, never had issues
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Doctors' responses

Hello Thank you for explaining your situation in detail. I understand how stressful this must be, especially with the uncertainty about the bruise and the risk of rabies.

### Key Points About Your Situation

- No clear bite or scratch: You did not see or feel a bite or scratch at the time, and you only noticed a bruise after several days. - Bruise characteristics: The bruise appeared after sleeping on your shoulder, was black and rough, and now has a white center with a black line around it. - No symptoms of rabies: You have not described any fever, pain, tingling, or other early rabies symptoms at the site. - Monkey exposure: You were chased by a monkey, but there is no definite evidence of a bite or scratch.

### Rabies Risk Assessment

- Rabies is only transmitted if the animal’s saliva enters your body through a bite, scratch, or open wound. - If you did not have any break in the skin (no bite, scratch, or open wound), the risk of rabies is extremely low. - Bruising alone, without a break in the skin, does not transmit rabies.

### What Should You Do?

- If you are still unsure whether there was a bite or scratch, it is always safest to consult a doctor in person. - In India, doctors often recommend vaccination if there is any doubt about exposure, especially with monkeys, as a precaution.

### My Recommendation

- Please consult a doctor as soon as possible. They can examine your bruise and decide if you need the rabies vaccine. - If there is even a small chance of a bite or scratch, it is better to be safe and get vaccinated. - Do not delay—rabies vaccine is most effective when started early after possible exposure.

Your health and peace of mind are most important.

Thank you

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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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Given your situation, it’s crucial to approach this with caution because potential monkey bites or scratches can be serious, even if they seem minor at first. The blackening and texture change on your shoulder sounds like it could be a bruise, potentially from a minor impact or pressure sore from sleeping on it, but it’s critical to rule out other possibilities such as an infection or a more concerning condition like a bite.

Monkey bites and scratches can expose you to infections like tetanus or rabies, although rabies is more typically associated with bites than scratches. Your symptoms don’t necessarily point to a bite, especially since there’s no evidence of puncture or noticeable scratch from what you described. However, not seeing a clear wound doesn’t completely eliminate the risk. The fact that the bruise has changed characteristics over time and now resembles a healing spot with skin formation but surrounded by a dark line might simply be part of the natural healing process, though, without seeing it, it’s hard to be definitive.

Given that you were in a situation involving an animal known to carry transmissible diseases, and given the evolving nature of your bruise, it’s advisable to see a healthcare provider promptly. A doctor can physically examine the area to determine if this truly needs further intervention—such as a tetanus booster or even post-exposure rabies prophylaxis—based on your specific risk factors and local health guidelines. If there were any possibility of an unknown scratch or bite, it is better to err on the side of caution and discuss this openly with your doctor.

It’s essential to consider the timeframe—usually, rabies prophylaxis is ideally started soon after exposure, but within a certain period if there’s any doubt. The fact that it’s been a week makes it urgent to assess this quickly. If new symptoms arise, such as fever, spreading redness, or increased pain, those would also be signs to seek medical attention without delay. Always prioritize safety and professional guidance over waiting and see, particularly in cases involving potential zoonotic transmission.

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