A Case of Serious Adverse Reaction Following Rabies Vaccination
| Autor: | Zhilin Kang MBBS, MRCPCH, MMED (Paediatrics), Wen Chin Chiang BMedSci, MBBS, MRCPCH, FAMS, Si Hui Goh MBBS, MRCPCH, MMED (Paediatrics), Anne Eng Neo Goh MBBS, MMED (Paediatrics), FRCPCH, FAMS, Peter Choong Yi Wong MBBS, MRCPCH, Koh Cheng Thoon MBBS, MRCPCH, MMED (Paediatrics), Natalie Woon Hui Tan MBBS, MRCPCH |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Global Pediatric Health, Vol 5 (2018) |
| Druh dokumentu: | article |
| ISSN: | 2333-794X 2333794X |
| DOI: | 10.1177/2333794X18817143 |
| Popis: | Introduction . Rabies is one of the most deadly infectious disease. We present a challenging case of an adverse reaction following rabies vaccine in a child. Case Summary . A 10-year-old girl was bitten by a stray dog in Bali and was prescribed rabies post-exposure prophylaxis. She developed breathlessness, abdominal cramps, and lips and eyes swelling 30 minutes after the second dose of rabies vaccine. The subsequent vaccine was successfully administered as a graded challenge with premedication. The final dose was administered in entirety under close observation. She developed transient hypotension 30 minutes later, which spontaneously resolved. Conclusion . There were multiple challenges in the care of this pediatric patient who was potentially exposed to rabies and experienced systemic adverse events during the course of post-exposure prophylaxis. A thorough clinical assessment should be made to weigh benefits versus risks of proceeding with rabies vaccination, bearing in mind that the disease is deadly. |
| Databáze: | Directory of Open Access Journals |
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