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Case Reports
. 2023 Sep 4;16(9):e256408.
doi: 10.1136/bcr-2023-256408.

Case of human rabies despite post-exposure prophylaxis (PEP) and complete recovery after intrathecal rabies immunoglobulin (RIG)

Shan Kai Ing  1   2 , Benjamin Ng Han Sim  3   4 , Yih Hoong Lee  2 , Tiing Yun Ling  2
Affiliations
Case Reports

Case of human rabies despite post-exposure prophylaxis (PEP) and complete recovery after intrathecal rabies immunoglobulin (RIG)

Shan Kai Ing et al. BMJ Case Rep. .

Retraction in

Abstract

Rabies, a fatal viral zoonotic disease, has become a public health concern in Sarawak, Malaysia. Despite pre-exposure and post-exposure prophylaxis being available, there has been limited progress in developing treatments for rabies, emphasising the pressing need for productive solutions. We present a laboratory-confirmed human rabies case in which the patient survived without neurological sequelae after receiving intrathecal rabies immunoglobulin.

Keywords: Infection (neurology); Tropical medicine (infectious disease).

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Multiple category three dog bite wounds over the left dorsum of the forearm (A) and left chest wall (B). The patient returned to us 2 months later with bite scars over the left dorsum of the forearm (C) and left chest wall (D). The patient reported numbness and paraesthesia over the bite scar in (C).
Figure 2
Figure 2
Serial rabies PCR results during the disease course. CSF, cerebrospinal fluid; IT, intrathecal; RIG, rabies immunoglobulin.
See this image and copyright information in PMC

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References

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