I was bitten by a start dig at our shelter in india on Friday.the dog died on Saturday n showed signs of rabies bef dying.there is no way to perform an autopsy on the dog in india.I have been vaccinated against rabies since the past 10yrs.my last booster shot was on 22/1/2010.bef thus have taken my 5 shots if post exposure in Jan 2009.I had washed the wound immediately with soap n iodine solution(it was tooth stab wound with teeth bruising around it).I immediately took the 0day vaccine n 3 day vaacine on Monday.my question is if I need to take immunoglobulin injection?also I am getting a low grade fever n headache at the back of my head n sides.my esr has come high.pls help !!!!shd I take the immunoglobulin n if I take it now will it interfere with the vaccine???pls pls help!!!
Hello, Welcome to Chat Doctor, Rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment. As you were bitten by a stray dog and the dog died after one day and as you have taken post exposure prophylaxis last year and Re-Exposure prophylaxis following recent incident you will be having protective rabies virus neutralizing antibodies (RNA) titles which will protect you from getting rabies. According to WHO in case of Re-Exposure, even it is a Cat III bite there is no need of rabies immunoglobulins (Rigs) and can undergo Rapid fluorescent focus inhibition test (REFIT) to know your RNA titles. Thank you.