
What Side Effects Are Seen With The Old Rabies Vaccination?

Thanks for your query.
Post- exposure prophylaxis of Rabies is highly successful in preventing the disease if administered promptly, in general within ten days of infection.
Modern cell based vaccines are similar to flu shots in terms of pain and side-effects.
The old nerve tissue based vaccinations that require multiple painful injections into the abdomen are cheap, but are being phased out and replaced by affordable WHO Intra dermal vaccination regimens.
Side effects were more with nerve tissue based vaccines.
A high rate of neurological complications like encephalitis occured with Semple Phenolized sheep brain vaccine.
ADEM
It is characterized by diffuse neurological signs due to multifocal lesions in the brain and spinal cord.
The differentiation of ADEM from a first attack of multiple sclerosis has prognostic and therapeutic implications,this distinction is often difficult.
Most patients with ADEM improve with methylprednisolone.
If that fails immunoglobulins, plasmapheresis or cytotoxic drugs can be given.
Recent literature suggests that a significant proportion of patients with ADEM will later develop multiple sclerosis.
However, follow up experience from developing countries does not support this view.
I suggest you to visit your Neurologist as you require a detailed CNS examination.
Hope I have answered your query.
I will be available for your follow up queries if any.
Wishing you good health.
Regards,


Please advise.

Please advise..
Nice to hear from you again.
You need not worry.
I mentioned in response to your previous query, that most patients with ADEM improve well with methylprednisolone.
I suggest you to consult a neurologist since it needs to be diagnosed after detailed examination and relevant investigations.
Hope I answered your query.
Regards,


Doc I am sorry.. Just need a clarification then I will accept and close this query.. As I forgot to metion in the first message would you please responde to the symptom of my hands being slightly numb when I wake... Does this change the potential outcome or do you believe that this still most likely is ADEM??? I am sorry for continued questioning..
Please advise.. and thank you very much.
I do not mind to respond to you again and again.
There are many causes for numbness.
It can occur in nutritional or vitamin deficiencies, hypocalcemia and few other very common conditions.
You do not just think about ADEM.
It is a rare possibility.
So I said you that it needs to be evaluated based on your blood reports and on top of it if the blood investigations are normal you will have to go for further evaluation by CT or MRI.
Be relaxed and do not think directly about the rare possibility.
Always think positively what ever odd a situation might be.
Hope I have answered your query.
Wishing you good health.
Regards,

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