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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Colse Punture Wounds After A Dog Bite

I was bitten by a Rottweiler a week ago, went to the ER and they said they dont colse puncture wounds. Its been bandaged up the entire time and it starting to heal. I now have whay I would call a marble under my skin. It doesnt hurt but feels weird. Should I be concerned?
Fri, 20 Jun 2014
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Infectious Diseases Specialist 's  Response
Hello,
Welcome to HCM,

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

As you were bit by dog which has led to puncture wound with bleeding and your doctor has informed that it should not be sutured and he bandaged the wound, according to WHO it is categorized into Cat III.

What your ER has told is right,because the virus enter into the nerve ending will be fast if we provoke the virus at the biting site. Bandaging the wound is also not advised by WHO recommendations. For your condition I would suggest you to follow
1.Active immunization with antirabies vaccine on days 0,3,7,14 and 28.
2.Passive immunization with RIGs around the wound,if there is a severe bleeding from the site of bite stay suture can be put after administration of serum.
3.Oral antibiotic like Tab Augmentin, twice daily
4.Topical T-Bact ointment.
Thank you.
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Having Colse Punture Wounds After A Dog Bite

Hello, Welcome to HCM, Rabies is 100% fatal but it is 100% preventable by proper and adequate treatment and this is transmitted by dog bite. As you were bit by dog which has led to puncture wound with bleeding and your doctor has informed that it should not be sutured and he bandaged the wound, according to WHO it is categorized into Cat III. What your ER has told is right,because the virus enter into the nerve ending will be fast if we provoke the virus at the biting site. Bandaging the wound is also not advised by WHO recommendations. For your condition I would suggest you to follow 1.Active immunization with antirabies vaccine on days 0,3,7,14 and 28. 2.Passive immunization with RIGs around the wound,if there is a severe bleeding from the site of bite stay suture can be put after administration of serum. 3.Oral antibiotic like Tab Augmentin, twice daily 4.Topical T-Bact ointment. Thank you.