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Is my shoulder bruise from a monkey bite or scratch?
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Infectious Illnesses
Question #29061
20 days ago
75

Is my shoulder bruise from a monkey bite or scratch? - #29061

Client_87810a

I have the asked this question multiple times and i thank doctor for their reply and reassurance.I want ask some more. Please read the description of brusie carefully and tell me if it's a monkey bite o r scratch. 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 I got leg surgery . AFTER 3days of monkey chase i noticed 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.After 3 days of monkey chase my bruise looked like a black oval and there is no bite marks but i suspect scratch and when touched rough powdered surface,now it's been 7 days now the bruise is oval with little like black stitches connected in oval shape inside it white skin even now I don't see monkey botes and also scratch .But from day1-7 don't feel anything on the bruise until when I undressed.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 would you describe the initial pain or discomfort in your shoulder?:

- None at all

Have you noticed any other symptoms besides the bruise?:

- Fever

Do you have any history of allergies or reactions to animal bites?:

- No, never had reactions
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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.
20 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.
19 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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Based on your description, the bruise on your shoulder could potentially come from several sources, but without a direct examination, determining if it’s a monkey bite or scratch is challenging. It’s not uncommon for stress or physical trauma, like your monkey chase incident, to result in unexplained bruising due to minor injuries or even unnoticed pressure on the skin. However, if it truly was a monkey bite or scratch, it’s crucial to consider the risk of rabies and other zoonotic infections. Rabies, though rare from non-bite exposure, is almost always fatal once symptoms appear, making post-exposure prophylaxis (PEP) essential if there’s suspicion of exposure. If there is any possibility of a contact with the monkey’s saliva, whether from a bite, lick, or scratch, seeking a rabies vaccine is important. I completely understand that parental advice is valued, but the risk factors here should not be overlooked. In solidifying this decision, a consultation with a healthcare provider as soon as possible is advised to accurately assess the need for rabies PEP based on the details of the encounter and any visible wounds. Until then, monitor the area for any signs of infection like warmth, redness, or purulent discharge, and maintain strict hygiene. Applying an over-the-counter antiseptic can prevent possible secondary infections. Should any signs of worsening or systemic symptoms like fever arise, immediate medical attention is advised.

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