This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Larry I. Lutwick, MD; John D. Shanley, MD

JAMA. 1980;244(7):691.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

SINCE the number of animal bites in the United States exceeds 1 million each year,¹ practicing physicians will at times be forced to make a decision whether to initiate postexposure rabies prophylaxis. The basic guidelines for the treatment of individuals bitten by animals have been outlined by the Center for Disease Control (CDC).² However, unusual circumstances not well covered by these guidelines occasionally arise. We have recently seen two cases involving animal bites in which the person had previously received one or more courses of rabies prophylaxis. Because the recommendations for repeated rabies prophylaxis in previously unimmunized individuals seem somewhat arbitrary, we are reporting these incidences to stress the importance of the pretreatment rabiesneutralizing antibody titer in directing the length of treatment.

Report of Cases

CASE 1.—

A 16-year-old high school student was referred to the University of Iowa, Iowa City, because of a recent potential rabies exposure. . . . [Full Text PDF of this Article]

Author Affiliations
From the Division of Infectious Diseases, Department of Internal Medicine, University of Iowa Hospitals and Clinics, and the Iowa City Veterans Administration Medical Center, Iowa City.

Footnotes
Reprint requests to Division of Infectious Diseases, Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA 52240 (Dr Lutwick).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?