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.
Similar Q&A
Concerns About Rabies Transmission in a Medical Clinic Setting
On May 8th, I visited a clinic for a cold, and the patient in front of me was receiving treatment for a dog bite. I would like to know if there is a risk of contracting rabies if I touched the area he had touched, and if he had any viruses on his body or hands, and then I touched...
Dr. Liao Yaopan reply Family Medicine
Hello, the chances of infection in the above situation should be minimal. Online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations. Changhua Hospital cares about you.[Read More] Concerns About Rabies Transmission in a Medical Clinic Setting
Do Children Need Rabies Vaccines After Dog Bites?
Hello Dr. Hsu, my child was bitten on the palm by a neighbor's dog last night and has already received a tetanus vaccine. Should we also administer a rabies vaccine?
Dr. Xu Kaixi reply Surgery
Dear Miss Lin, First, it is essential to determine whether the neighbor's dog has rabies (symptoms include foaming at the mouth, obvious aggression, or abnormal behavior). If it is a normal pet dog, there is no need to worry about the risk of rabies. Administering tetanus t...[Read More] Do Children Need Rabies Vaccines After Dog Bites?
Rabies Exposure Concerns: What Parents Need to Know
Hello, doctor. I would like to ask, if my hand came into contact with the saliva of a stray dog and I only washed my hands normally afterward, touching water 2-3 times during that period, and then handled fruit for my child to eat (with my hands touching the fruit), and my child ...
Dr. Liao Zhongxin reply Internal Medicine
Dear readers, Regarding the question of whether contact with the saliva of a stray dog could lead to rabies infection after only washing hands normally, touching water 2-3 times, and then cutting fruit for a child (with the hands touching the fruit), especially since the child h...[Read More] Rabies Exposure Concerns: What Parents Need to Know
Can a Pet Rodent Bite Lead to Rabies Infection in Toddlers?
Hello Dr. Liao: My daughter is currently 1 year and 1 month old. On July 9, while at my mother-in-law's house, she was bitten on her index finger by a pet mouse (unsure of the breed, but it seems to be a guinea pig). There are two wounds, both of which bled. We initially rin...
Dr. Liao Yaopan reply Family Medicine
Hello, urgent wound management is the most important related guideline. For more information, please refer to the following links: [Disease Overview](https://www.cdc.gov.tw/Category/Page/iHUOIaLSAbQowJjnNGH2uQ) and [Bite Management](https://www.cdc.gov.tw/Category/MPage/Ffsf8vPI2...[Read More] Can a Pet Rodent Bite Lead to Rabies Infection in Toddlers?
Related FAQ
(Family Medicine)
Tetanus(Family Medicine)
Contagion(Family Medicine)
Monkeypox(Family Medicine)
Health Check-Up Report(Family Medicine)
Viral Infection(Family Medicine)
Lymphadenitis(Family Medicine)
Parasites(Family Medicine)
Poisoning(Family Medicine)
Itchy Skin(Family Medicine)