2014
DOI: 10.4103/1817-1745.139328
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Paralytic rabies following cat scratch and intra-dermal anti-rabies vaccination

Abstract: Only few reports of failure of intradermal postexposure prophylaxis for rabies following cat scratch exist in the published literature. We are reporting such a case in a 15-year-old girl. The child had category III cat scratch on her face. She presented with progressive paralysis, finally developing quadriplegia and respiratory paralysis. Typical hydrophobia and aerophobia were absent. She received intra-dermal anti-rabies cell culture vaccine. She did not receive anti-rabies immunoglobulin. The girl succumbed… Show more

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Cited by 8 publications
(3 citation statements)
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“…In contrast, exposure to a high virus titer, leads to direct infection of motor neurons whereas sensory neurons are probably not infected. Nevertheless, several cases of rabies following skin lesions have been reported [ 47 , 133 ], although it is not clear whether sensory neurons were infected in those cases. It is possible that different genotype 1 lyssaviruses have differential tropism for sensory neurons and epidermal cells [ 85 ].…”
Section: Flaviviridaementioning
confidence: 99%
“…In contrast, exposure to a high virus titer, leads to direct infection of motor neurons whereas sensory neurons are probably not infected. Nevertheless, several cases of rabies following skin lesions have been reported [ 47 , 133 ], although it is not clear whether sensory neurons were infected in those cases. It is possible that different genotype 1 lyssaviruses have differential tropism for sensory neurons and epidermal cells [ 85 ].…”
Section: Flaviviridaementioning
confidence: 99%
“…In fact, there are numerous studies that report that most of the rabies suspected exposures is due to dogs [25,26]. However, a small number of cases who died from rabies after being scratched by cats were also reported [27]. Therefore, it was determined that the causes of increased suspected exposure due to cat contact cases should be investigated and a separate attention should be paid to cats in activities such as education and vaccination.…”
Section: Discussionmentioning
confidence: 99%
“…Because the son did not receive immediate RIG treatment, he remained at possible risk for RV infection [ 9 , 10 ]. RVNA of the son has been actively monitored; his health condition has been assessed every 6 months post his initial result.…”
Section: Case Presentationmentioning
confidence: 99%