THORNSVARD CHARLES, M.D.
To the editor: I congratulate Dr. Hattwick and his associates on providing the excellent care for their young patient with rabies (1), which undoubtedly aided recovery. One point deserves emphasis: the postexposure treatment in this patient was inappropriate, inadequate, and delayed. I would submit, as would Hildreth (2, 3), that, besides local wound care, the only postexposure treatment of efficacy is antiserum injected locally and systematically into the area of wounding. This should be given immediately and certainly within the first 24 hours. Once the rabies virus becomes ensconced within the nerve, antibody is ineffective in preventing rabies in experimental
CHARLES T. Rabies Treatment. Ann Intern Med. ;77:812–813. doi: 10.7326/0003-4819-77-5-812
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Published: Ann Intern Med. 1972;77(5):812-813.
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