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Rabies prophylaxis after an animal attack that caused a ruptured eye and traumatic cataract: a case report

INTRODUCTION: We report on a patient with an animal bite eye injury, his surgical treatment and proper rabies immunoglobulin administration. CASE PRESENTATION: A 33-year-old Turkey hunter was attacked by a bobcat and his injuries included a ruptured globe with corneal laceration, two iris sphincter...

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Detalles Bibliográficos
Autores principales: Holzer, Mike P, Solomon, Kerry D
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2827075/
https://www.ncbi.nlm.nih.gov/pubmed/20184710
http://dx.doi.org/10.4076/1757-1626-2-9192
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author Holzer, Mike P
Solomon, Kerry D
author_facet Holzer, Mike P
Solomon, Kerry D
author_sort Holzer, Mike P
collection PubMed
description INTRODUCTION: We report on a patient with an animal bite eye injury, his surgical treatment and proper rabies immunoglobulin administration. CASE PRESENTATION: A 33-year-old Turkey hunter was attacked by a bobcat and his injuries included a ruptured globe with corneal laceration, two iris sphincter tears, and a ruptured anterior capsule with a traumatic cataract. Rabies vaccination was started, primary closure of the corneal laceration, an anterior chamber washout and one week later cataract surgery were performed. Three months postoperatively he achieved an uncorrected visual acuity of 20/50 and a best corrected visual acuity of 20/20. CONCLUSION: Bobcat attacks on humans are very rare and extremely suspicious for rabies infection of the animal. Ophthalmologists need to be aware of the importance of immediate and appropriate post exposure rabies vaccination. Proper rabies immunoglobulin administration in the setting of globe injuries is challenging and we report on the Center for Disease Control and Prevention recommendations for globe injuries.
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spelling pubmed-28270752010-02-24 Rabies prophylaxis after an animal attack that caused a ruptured eye and traumatic cataract: a case report Holzer, Mike P Solomon, Kerry D Cases J Research article INTRODUCTION: We report on a patient with an animal bite eye injury, his surgical treatment and proper rabies immunoglobulin administration. CASE PRESENTATION: A 33-year-old Turkey hunter was attacked by a bobcat and his injuries included a ruptured globe with corneal laceration, two iris sphincter tears, and a ruptured anterior capsule with a traumatic cataract. Rabies vaccination was started, primary closure of the corneal laceration, an anterior chamber washout and one week later cataract surgery were performed. Three months postoperatively he achieved an uncorrected visual acuity of 20/50 and a best corrected visual acuity of 20/20. CONCLUSION: Bobcat attacks on humans are very rare and extremely suspicious for rabies infection of the animal. Ophthalmologists need to be aware of the importance of immediate and appropriate post exposure rabies vaccination. Proper rabies immunoglobulin administration in the setting of globe injuries is challenging and we report on the Center for Disease Control and Prevention recommendations for globe injuries. BioMed Central 2009-09-15 /pmc/articles/PMC2827075/ /pubmed/20184710 http://dx.doi.org/10.4076/1757-1626-2-9192 Text en Copyright ©2009 Holzer and Solomon; licensee Cases Network Ltd. licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research article
Holzer, Mike P
Solomon, Kerry D
Rabies prophylaxis after an animal attack that caused a ruptured eye and traumatic cataract: a case report
title Rabies prophylaxis after an animal attack that caused a ruptured eye and traumatic cataract: a case report
title_full Rabies prophylaxis after an animal attack that caused a ruptured eye and traumatic cataract: a case report
title_fullStr Rabies prophylaxis after an animal attack that caused a ruptured eye and traumatic cataract: a case report
title_full_unstemmed Rabies prophylaxis after an animal attack that caused a ruptured eye and traumatic cataract: a case report
title_short Rabies prophylaxis after an animal attack that caused a ruptured eye and traumatic cataract: a case report
title_sort rabies prophylaxis after an animal attack that caused a ruptured eye and traumatic cataract: a case report
topic Research article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2827075/
https://www.ncbi.nlm.nih.gov/pubmed/20184710
http://dx.doi.org/10.4076/1757-1626-2-9192
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