PMC8170276_01
Map of Bhutan showing the border town of Samtse district and Samtse General Hospital
that recorded the 'probable rabies death' in a child in November 2020.
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Samtse district in Bhutan (see Figure 1), presented to the Samtse District Hospital on 08 November 2020 with 1-day history of intermittent fever, nausea, and being unable to eat or drink. She was admitted into the hospital's isolation ward.
Linear scratch marks and puncture wounds with evidence of bleeding and scab formation
on the anterior chest and upper abdomen in the 3-year-old female child who died of
probable rabies in November, 2020 in Samtse district, Bhutan.
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SpO2 98% on room air, and capillary blood sugar 146 mg/dL. She had three healed linear scars with five healed puncture wounds on the anterior chest and upper abdomen; three of the puncture wounds had evidence of bleeding with remains of healed scabs (Figure 2).