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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Dog Bite Behind Knee

Hi, I was bitten by a dog a few days ago. I went to the emergency room the following morning and received some IV anti-biotics and a prescription for a weeks dosage of the same (the bite was infected, not severely - it did not spread). The bite is behind my right knee (knee pit) and the most painful the punctures was right on top of the inside tendon. My question is in relation to my work. I recently acquired a job which requires standing for 10 hours a shift. The ER doctor estimated that I could return to work in a week but his assessment was brief and I m worried that the tendon may be damaged. I m worried about long term damage if I return to work. As of right now, I can not put any weight on the leg without severe pain. I have an appointment with a clinic tomorrow to check up on the wound but would like multiple opinions. I d rather lose the job and heal properly than risk a life long injury. Thank you, Colin Fischer
Wed, 18 Jun 2014
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Infectious Diseases Specialist 's  Response
Hello,
Welcome to HCM,

Rabies is a disease transmitted by dog bite which is 100% fatal but it is 100% preventable by proper and adequate treatment.

As you were bit by dog behind the right knee which has led to bleeding from that site and according to WHO it is categorized into Cat III which requires following treatment.

1.Active immunization with antirabies vaccine on days 0,3,7,14 and 28.
2.Passive immunization with RIGs around the wound.
3.Oral antibiotic like Tab Augmentin, twice daily
4.Topical T-Bact ointment.

In addition to this as there is a severe laceration with injury to the tendon, you need to give proper rest to your right knee joint which helps to heal the wound at the earliest and make you fit for your work.
Thank you.
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Suggest Treatment For Dog Bite Behind Knee

Hello, Welcome to HCM, Rabies is a disease transmitted by dog bite which is 100% fatal but it is 100% preventable by proper and adequate treatment. As you were bit by dog behind the right knee which has led to bleeding from that site and according to WHO it is categorized into Cat III which requires following treatment. 1.Active immunization with antirabies vaccine on days 0,3,7,14 and 28. 2.Passive immunization with RIGs around the wound. 3.Oral antibiotic like Tab Augmentin, twice daily 4.Topical T-Bact ointment. In addition to this as there is a severe laceration with injury to the tendon, you need to give proper rest to your right knee joint which helps to heal the wound at the earliest and make you fit for your work. Thank you.