Rehan Ahmad, Saima Orakzai.
Rabies and Vaccination Failure: Two case reports.
Pak J Med Sci Jan ;18(4):325-7.

Objective: To highlight the health implications of increase in the stray dogs population and outline the problems of post exposure prophylaxis. Setting: Medical Unit, Ayub Medical College, Abbottabad. Findings: Both the cases developed rabies despite post exposure rabies vaccination. First case presented with psychiatric features. Conclusion: Post exposure rabies vaccination is difficult to rely upon in our healthcare setup, unless its efficacy has been confirmed by measurement of protective antibody titre. This may be expensive but strategies need to be worked out to make it cost effective.

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