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| SPECIALIST ANSWERS
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Question |
A 5yrs boy was bitten by a domestic dog 9 months back. The received 3 doses of rabipur on 0,3 &21 day. The dog is still alive. Now, again he is bitten by a street dog .,and the dog is behaving peculiarly.the dog is traceless. Now, what will be his treatment regime? 2.a 6yrs boy is having recurrent attacks of parotitis with fever. He is immunised against mmr. How will the boy be managed? What will be the d/d? 3.is there any role of ambroxol in acute asthma?
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Answer |
This boy requires to be given only 2 doses of any tissue culture vaccine on day 0 and on 7th day.The previous 3 doses will act as preexposure prophylaxis.If there is fresh bite within 5 years, one needs to give only 2 doses at 0 and 7th day .There is no
need of giving rabies immunoglobulin with pre exposure prophylaxis.After 5 years of previous dose,if there is any bite minimum of 5 doses schedule to be followed.
2) Apart from mumps, one should rule out HIV and salivary duct calculus for recurrent parotitis. Do a USG of parotids and HIV ELISA.
3) There is no role of ambroxol in asthma.
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