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Cat bite and vaccine - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
User :   Dear Sir/Madam,
I am a 32 year old (almost 33) Caucasian male from Maine, U.S.A. I'm 170 cm tall and weight about 80 kilos, with no known health problems or alergies. Now, because I got bit by a bat in Quebec, Canada about 10 years ago, I was given a full Rabies vaccine with immunoglobin and five subsequent shots over a one month period (at least as far as I remember). That help me, but just three weeks ago, I was bitten by yet another stray animal -a cat this time. Remembering that one always needs another rabies vaccine after a subsequent bite, I went to the hospital in Pohang and requested one. The nurse gave me my first shot this morning and will give me my second one in three days. But she said something strange: in broken English, she recommended that I not take any showers for the next 24 hours. That made my think and that is why I have two questions now.
#1 If I already had a full rabies vaccine 10 years ago, and may have been exposed to another rabbid animal this month, will the two rabies boosters be enough to protect me, or will I need to get another full vaccine with immunoglobin and all the rest?
#2 Do I really need to avoid showers between now and tomorrow? And for that matter, do I need to avaoid anything else, such as making love to my girlfirend tonight?
Any advice on this matter would be most welcome.
Thanks for your time and take care,
Claude Baspeyre in South Korea.

Doctor :   Hi
Doctor :  
How can I help you?
Doctor :  
Let me read it
User :   Yes.
User :   Ok
Doctor :   Ok

Doctor :   For your first query, you need not take the full course of vaccine and the immunoglobulins
Doctor :  
since you have already been vaccinated
Doctor :   the exception is for severely immunocompromised individuals
User :   ok.
User :   That's good news for the first question! :)
Doctor :  
and for a normal healthy person, there is no need to repeat those drugs and vaccines
Doctor :  
User :   But, do you know why the nurse asked me not to shower?
Doctor :  
And for the second question, there are no restrictions for shower, making love
Doctor :  
You can be as normal as any other day
User :   And ..euhhh... I have a romantic evening planned tonight...
Doctor :   Ok

Doctor :  
No issues
User :   is it better for me to not have sex?
Doctor :  
There is no contraindication for that
User :   okay then.
User :   So given my immune system that is within the norm, I'm okay for just a Rabies booster...even after 10 years?
Doctor :   Yes

Doctor :  
That is not a problem
User :   Okay and I can gety close to my gf tonight?
Doctor :   Yes, you can

User :   Okay lol.
User :   But one last thinbg...
Doctor :  
User :   Do you know why the nurse asked me to not shower for 24 hours?
Doctor :   I really cannot comment on that

User :   Hmmm...maybe a "hygene" thing.
User :   Okay, that answers my questions pretty well.
Doctor :   It does not fall into that category

User :   Thank you very much, Doctor!
Doctor :   Is there any thing else I can help you with?
User :   For now I'm okay
User :   Thank you!
User :   :)
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.

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