POST-EXPOSURE IMMUNOLOGICAL AND SURGICAL MANAGEMENT FOR RABIES PREVENTION FOLLOWING DOG BITE IN THE MAXILLOFACIAL REGION
Dr. Darpan Bhargava, MDS, MOMS RCPS (Glasg.), PGDHM, FTMJF, Dr. Pankaj Pathak, M.D.S, Dr. Manoj Tiwari and *Dr. Sivakumar Beena, BDS
ABSTRACT
Introduction: Dog bite is frequent among animal aggression and can affect victims of varying age range, especially children. The injury can be present in any anatomic region of the body especially pertaining to the maxillofacial region. The aim of this article is to emphasize the treatment for such injuries including appropriate immunotherapy along with uneventful primary septic wound closure in the maxillofacial region. Case report: A 5 year old male patient reported to the emergency department followed by a dog bite with laceration involving the lower lip extending inferiorly to the chin region. Multiple superficial lacerations were present in the vicinity of neck. (Bite marks following teeth penetration) An appropriate peri-operative care of active and passive immunization followed by wound closure was performed under general anesthesia with an uneventful post-operative period. Discussion: The immunological and surgical guidelines such as anti-rabies vaccine schedules and peri-operative wound closure for management of Category III patient following dog bite in the maxillofacial region is discussed.
Keywords: Animal Bites, Immunoglobulins, Rabies vaccine, maxillofacial injuries.
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