Rabies Vaccination Question

[mempto]

So I started rabies post exposure prophylaxis in Thailand two weeks ago due to a monkey bite at a tourist site.  I'm in a bit of a conundrum as I may have been potentially exposed to another source of rabies as of two days ago...I woke up two mornings ago with scratch marks and what looks like a puncture wound scab on my lower leg.  I have NO idea how it got there...I don't recall being bitten while awake and I didn't see a bat in my hotel room.  My question is, if I am potentially exposed to rabies twice within a matter of weeks, do I just continue with my original rabies PEP vaccination schedule (received my 4th vaccination the day after my potential second exposure to rabies...if that makes sense) or do I need to start the whole PEP sequence over again?  Will there be enough protection from the original PEP vaccinations?  

[yzamsie]

6 years ago I was bitten by a monkey, never got a vaccination.
Two years ago I was bitten by a cat, this time I got a full vaccination, 3 vaccines and on the spot and completed the 5 more every week.
This year I got bitten again by a dog, so they gave me a booster (2 vaccines) and required me to go back after two days which i fully intend to, my question is, am I still endanger considering that 6 years ago when I had my first bite i never undergone a PEP? thanks

[Dr. Kokil Mathur]

Hi!

If you had the post exposure rabies prophylaxis, it usually provides immunity for 2-3 years. If a booster dose is taken after one year, then immunity could be conferred for 8-10 years. So, you should not need a second course.

In a hotel room the puncture wound with scab and scratch mark could be due to mosquito bite. Do discuss this with your doctor and get yourself examined. Take care!