{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T04:28:55Z","timestamp":1771561735702,"version":"3.50.1"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p> 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\u2009days 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 18<jats:sup>th<\/jats:sup> 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. <\/jats:p>","DOI":"10.1177\/2050313x211019786","type":"journal-article","created":{"date-parts":[[2021,5,31]],"date-time":"2021-05-31T06:58:15Z","timestamp":1622444295000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Probable rabies in a child in a Bhutanese town bordering India, 2020"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0794-8094","authenticated-orcid":false,"given":"Karma","family":"Lhendup","sequence":"first","affiliation":[{"name":"Samtse General Hospital, Samtse, Bhutan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4932-8704","authenticated-orcid":false,"given":"Thinley","family":"Dorji","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan"},{"name":"Kidu Mobile Medical Unit, His Majesty\u2019s People\u2019s Project, Thimphu, Bhutan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,5,30]]},"reference":[{"key":"bibr1-2050313X211019786","unstructured":"World Health Organization. Rabies, 2020, https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/rabies (accessed 22 November 2020)."},{"key":"bibr2-2050313X211019786","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0003709"},{"key":"bibr3-2050313X211019786","doi-asserted-by":"publisher","DOI":"10.20506\/rst.37.2.2821"},{"key":"bibr4-2050313X211019786","doi-asserted-by":"publisher","DOI":"10.1111\/j.1863-2378.2011.01393.x"},{"key":"bibr5-2050313X211019786","doi-asserted-by":"publisher","DOI":"10.3201\/eid1612.100958"},{"key":"bibr6-2050313X211019786","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-017-2393-x"},{"key":"bibr7-2050313X211019786","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268810002682"},{"key":"bibr8-2050313X211019786","volume-title":"National Guideline for Management of Rabies","author":"Royal Government of Bhutan","year":"2014","edition":"2"},{"key":"bibr9-2050313X211019786","doi-asserted-by":"crossref","unstructured":"Dorjee S, Jamtsho RK, Tenzin T, et al Bhutan One Health Strategic Plan 2018\u20132023. 2nd ed. Thimphu, Bhutan, http:\/\/www.bohnet.bt\/boh\/wp-content\/uploads\/2020\/11\/Bhutan_One_Health_Strategy_Plan-1.pdf","DOI":"10.47811\/bhj.157"},{"key":"bibr10-2050313X211019786","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-019-4252-4"},{"key":"bibr11-2050313X211019786","doi-asserted-by":"publisher","DOI":"10.1016\/j.inhe.2012.03.005"},{"key":"bibr12-2050313X211019786","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0007305"},{"key":"bibr13-2050313X211019786","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-6559-x"},{"key":"bibr14-2050313X211019786","unstructured":"World Health Organization. WHO expert consultation on rabies. Geneva: World Health Organization, 2018, https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/272364\/9789241210218-eng.pdf?ua=1"},{"key":"bibr15-2050313X211019786","unstructured":"Department of Livestock, Ministry of Agriculture and Forests. Mass dog anti-rabies vaccination drive in Samtse and Chhukha, 2021, http:\/\/www.dol.gov.bt\/?p=1980 (accessed 26 April 2021)."},{"key":"bibr16-2050313X211019786","volume-title":"Annual Health Bulletin 2020","author":"Ministry of Health","year":"2020"},{"key":"bibr17-2050313X211019786","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2011.03.106"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X211019786","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X211019786","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X211019786","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T14:20:18Z","timestamp":1740925218000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X211019786"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":17,"alternative-id":["10.1177\/2050313X211019786"],"URL":"https:\/\/doi.org\/10.1177\/2050313x211019786","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"value":"2050-313X","type":"print"},{"value":"2050-313X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]},"article-number":"2050313X211019786"}}