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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Horse Bite

My horse bit my bum cheek two weeks ago. The bruise was very big, possibly as big as my hand. After 24 hours the bruise turned purple, but remained normal in the centre. Now the bruise is starting to go, I have noticed a large flat lump (a little bigger than a 50p piece). Do you have any idea of what this could be?
Tue, 28 Oct 2014
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Infectious Diseases Specialist 's  Response
Hello,
Welcome to HCM,

Hello,
Welcome to HCM,

As you were bit by a horse over the bumps region which has led to punctured wound and internal bleeding, horse is known to transmit rabies,which is 100 % fatal but it is 100% preventable by proper and adequate treatment.

As there was a bleeding from the site, according WHO categorization it is categorized into Cat III, Which requires following treatment.

1. Wash the wound thoroughly with soap and water to washout the rabies virus if it is present in and around the wound.

2.Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.

3.Passive immunization with rabies immunoglobulin in and around the wound.

4.Inj TT, if you have not received in last five years.

5.Oral Tab Augmentin, 625 mg, twice daily for five days.

The aforementioned treatment will help to protect you against getting rabies.
Thank you.
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Suggest Treatment For Horse Bite

Hello, Welcome to HCM, Hello, Welcome to HCM, As you were bit by a horse over the bumps region which has led to punctured wound and internal bleeding, horse is known to transmit rabies,which is 100 % fatal but it is 100% preventable by proper and adequate treatment. As there was a bleeding from the site, according WHO categorization it is categorized into Cat III, Which requires following treatment. 1. Wash the wound thoroughly with soap and water to washout the rabies virus if it is present in and around the wound. 2.Active immunization with anti rabies vaccine on days 0,3,7,14 and 28. 3.Passive immunization with rabies immunoglobulin in and around the wound. 4.Inj TT, if you have not received in last five years. 5.Oral Tab Augmentin, 625 mg, twice daily for five days. The aforementioned treatment will help to protect you against getting rabies. Thank you.