Should You See a Doctor for Potential Rabies Exposure in Children? - Family Medicine

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About rabies?


Hello, doctor.
At the end of April, my child (currently 2 years and 11 months old) was scratched and bitten by a cat while playing in a monkey park.
At that time, the injury did not seem serious, so we did not take him to see a doctor.
A few days later, the wound healed.
However, with the recent outbreak of rabies and the long incubation period of up to 6 months, I can't help but feel worried.
I would like to ask if it is necessary to see a doctor, and if so, which specialty should we consult? Thank you for taking the time to answer.

Ka Ka Ma, 30~39 year old female. Ask Date: 2013/07/25

Dr. Gao Qingyun reply Family Medicine


Hello: Based on your description, the likelihood of your child being infected with common bacteria from cats or the rabies virus is low (considering the animal is from a non-endemic area and the wound is minor), so there is no need for special concern.
Regarding rabies prophylaxis, according to the current information from the Centers for Disease Control, it is still up to the physician to assess whether rabies vaccination or rabies immune globulin is necessary on a case-by-case basis.
If you still have concerns, you may visit the infectious disease outpatient department at a medical center to have your child's situation evaluated and discussed with a physician.
Wishing you safety and good health.
Sincerely, Dr.
Gao Qingyun, Attending Physician, Family Medicine Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2013/07/25

More Info


When it comes to potential rabies exposure, especially in children, it is crucial to take any animal bite seriously, even if the injury appears minor at first. Rabies is a viral disease that can be fatal if not treated promptly after exposure. The incubation period for rabies can indeed be lengthy, sometimes extending up to six months, which is why your concern is valid.

In your case, your child was bitten by a cat while visiting a monkey park. Cats can be carriers of rabies, especially if they are stray or unvaccinated. Given that rabies is a zoonotic disease (transmissible from animals to humans), it is essential to assess the risk of rabies exposure following any animal bite.
The first step is to evaluate the circumstances surrounding the bite. Was the cat vaccinated against rabies? Was it a stray or a pet? If the cat was stray or its vaccination status is unknown, the risk of rabies exposure increases significantly. Even if the wound healed quickly, rabies can still be a concern if the animal was infected.

You should definitely see a doctor, and the best course of action would be to consult with a healthcare provider who specializes in infectious diseases or a pediatrician. They will be able to assess the situation more thoroughly and determine whether post-exposure prophylaxis (PEP) is necessary. PEP typically involves a series of rabies vaccinations and, in some cases, rabies immune globulin (RIG) to prevent the virus from taking hold in the body.

In the United States, the Centers for Disease Control and Prevention (CDC) recommends that anyone who has been bitten by an animal that may have rabies should seek medical attention immediately. The treatment is most effective when administered as soon as possible after exposure.
If you decide to visit a pediatrician, they may refer you to an infectious disease specialist if they believe rabies exposure is a concern. It is important to bring any relevant information about the incident, including details about the animal, the nature of the bite, and any other symptoms your child may be experiencing.

In summary, given the potential risk of rabies from the cat bite, it is advisable to seek medical attention promptly. The healthcare provider will guide you through the necessary steps, including whether rabies vaccination is warranted. Remember, it is always better to err on the side of caution when it comes to rabies, as the consequences of untreated exposure can be severe.

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