Probable rabies in a child in a Bhutanese town bordering India, 2020.

SAGE Open Medical Case Reports
Karma Lhendup, Thinley Dorji


Rabies is a neglected tropical disease that causes mortality and high economic burden in many developing countries. Rabies is a vaccine-preventable disease if timely post-exposure prophylaxis is available after animal exposure. The control of rabies requires limiting the transmission of the virus in the animal reservoir, effective public health measures to control outbreaks and increasing accessibility and uptake of rabies post-exposure prophylaxis. Bhutan is a small Himalayan country where rabies is endemic. In this article, we describe the death of a 3-year-old female child due to probable rabies in a Bhutanese village located along the border with India. The child had a furious form of rabies with encephalitic syndrome developing 57 days after a category III dog bite on the chest. The child was managed at a district hospital with the available resources. This is the first rabies death in Bhutan in the last 5 years and the 18th since 2006. This case report focuses on the efforts required to increase the timely uptake of post-exposure prophylaxis in a free healthcare system in Bhutan.


Nov 27, 2010·Epidemiology and Infection· TenzinM P Ward
Dec 3, 2010·Emerging Infectious Diseases· TenzinMichael P Ward
Aug 17, 2011·Zoonoses and Public Health· TenzinM P Ward
Apr 17, 2015·PLoS Neglected Tropical Diseases·Katie HampsonUNKNOWN Global Alliance for Rabies Control Partners for Rabies Prevention
Feb 13, 2019·Revue Scientifique Et Technique·S A Rahman, S Isloor

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