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Concerns About Bruise After Monkey Encounter
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Infectious Illnesses
Question #29060
45 days ago
111

Concerns About Bruise After Monkey Encounter - #29060

Client_87810a

I have the asked this question multiple times and i thank doctor for their reply and reassurance.I want ask some more. So please read the lines carefully about the description of my brusie in the middle paragraph. I chased by a monkey one week ago i jumped and broke my leg i didn't feel anything but after few seconds I felt and also after 3 days of my fracture on my shoulder there is a black mark. I don't know if it's a monkey bite or not.But i didn't fall on the left shoulder. My doubt is i slept 3-4hours on left shoulder and the next dayI see the black bruise when I touched it felt like powdered rough surface.And it's been 7 days now the bruise is oval with little like black stitches outer inside it white skin.But from day1-7 don't feel anything on the bruise until when I undressed.And after 4 days of monkey chase the I see the bruise only as black rough powdered surface i didn't see any bite or scratch even small.And now after 7 days of monkey chased the black bruise fall it formed like white skin and around it a black line like stiches. Even with doubt i want to vaccine but my parents telling me to don't take it's might be monkey scratch. I need few doctors response soI can relax

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

Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
45 days ago
5

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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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
44 days ago
5

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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