Rabies in a Thai child treated with the eight-site post-exposure regimen without rabies immune globulin.
We report the case of a 7-year-old Thai girl that was bitten by a dog. She received prompt wound care followed by eight-site intradermal post-exposure rabies schedule using purified chick embryo vaccine. Treatment followed WHO recommendations for desperate situations where no rabies immune globulin (RIG) is available. The patient died 15 days later with classical symptoms and signs of encephalitic rabies.
Sriaroon
Chakrapol
C
Queen Saovabha Memorial Institute, Thai Red Cross Society, 1871 Rama IV Road, Bangkok, Thailand. chakrapol_s@hotmail.com
Daviratanasilpa
Svastijayi
S
Sansomranjai
Panuwong
P
Khawplod
Pakamatz
P
Hemachudha
Thiravat
T
Khamoltham
Thavatchai
T
Wilde
Henry
H
D000818:Animals; D002642:Chick Embryo; D002648:Child; D004283:Dog Diseases / Q000821:virology*; D004285:Dogs; D005260:Female; D006801:Humans; D011818:Rabies / Q000517:prevention & control* / Q000662:veterinary*; D011819:Rabies Vaccines / Q000627:therapeutic use*; D020133:Reverse Transcriptase Polymerase Chain Reaction
D011819:Rabies Vaccines