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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Mild Swelling In Tongue And Eyes Be The Symptoms Of Rabies?

I am a 26 year old male from India and I was being badly scratched on both my lower arms by a 8 month old not imunised street cat which I kept for 4 months. Yesterday I got a another small scratch from her on my neck . I got her treated for foam vomiting and direa then she was fine. But I never got her vaccinated until yesterday. Then I let her go. Are there any chances of me getting rabies. Last week I got a mild swelling in my tongue my left eye had also swollen up even my right eye was starting to swell up. I went and took a tettinis injection and showed my eyes to a eye doctor. Now the swelling in tongue is gone. The swelling in my eyes are also much better. Today I took one vaccination against rabies. The particulars of the bill say that I took one VAXIRAB amount-338.00 and INJ.GIVING CHARGE amount-5.00. I plan to complete the remaining three doses that they have sheduled for me they are on 11, 14 and 21 of may. Please I just want to know wheter I am safe. Are these vaccinations safe and sufficient for me.
Thu, 6 Oct 2016
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General & Family Physician 's  Response
Hello.

I can understand your concern.

The incubation period of Rabies in humans i.e. the time taken from the virus to enter the body and produce symptoms can vary from anywhere between 1 week to 3-4 weeks. The same incubation period in cats is lesser i.e. from 1 day to a couple of weeks. Once the virus enters the body, the disease progression is very fast and death may occur within 10 days to 2 weeks.

Since you have been scratched by your unimmunised pet over a period of 4 months, it rules out rabies infection in your cat as she did not show any symptoms during this period like aggressiveness or decreased activity. Another very common symptom of rabies is hydrophobia i.e. fear of water which from the information you provided, was absent. Hence, the chances of your cat transmitting the infection to you is also ruled out.

Rabies virus mainly affects the nervous system and initial symptoms include pain at the bite site, generalised muscle aches, etc. which may rapidly progress to serious symptoms like change in behaviour, aggressiveness, mental changes, hydrophobia, fear of light and eventually death. It is not known to cause swelling of eyes or tongue.

Since you have already started the vaccination schedule for rabies, you can complete the entire course to be on the safer side. Rabies vaccinations are generally safe and sufficient for superficial scratches or bites. In case there is bleeding at the bite site, rabies immunoglobulins are generally given alongwith the vaccines.

Hope this helps.

Regards,
Dr Geeta
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Could Mild Swelling In Tongue And Eyes Be The Symptoms Of Rabies?

Hello. I can understand your concern. The incubation period of Rabies in humans i.e. the time taken from the virus to enter the body and produce symptoms can vary from anywhere between 1 week to 3-4 weeks. The same incubation period in cats is lesser i.e. from 1 day to a couple of weeks. Once the virus enters the body, the disease progression is very fast and death may occur within 10 days to 2 weeks. Since you have been scratched by your unimmunised pet over a period of 4 months, it rules out rabies infection in your cat as she did not show any symptoms during this period like aggressiveness or decreased activity. Another very common symptom of rabies is hydrophobia i.e. fear of water which from the information you provided, was absent. Hence, the chances of your cat transmitting the infection to you is also ruled out. Rabies virus mainly affects the nervous system and initial symptoms include pain at the bite site, generalised muscle aches, etc. which may rapidly progress to serious symptoms like change in behaviour, aggressiveness, mental changes, hydrophobia, fear of light and eventually death. It is not known to cause swelling of eyes or tongue. Since you have already started the vaccination schedule for rabies, you can complete the entire course to be on the safer side. Rabies vaccinations are generally safe and sufficient for superficial scratches or bites. In case there is bleeding at the bite site, rabies immunoglobulins are generally given alongwith the vaccines. Hope this helps. Regards, Dr Geeta