A Rare Case of Abscess and Axillary Neuropathy Following Anti-rabies Vaccination in a 10-year-old Child: A Case Report and Literature Review.

Abstract

<h4>Introduction</h4>Post-exposure prophylaxis for rabies is generally considered safe, with serious adverse events being exceedingly rare. Although abscess formation is plausible but to date, there is no documentation of abscess formation after purified Vero cell rabies vaccine (PVRV).<h4>Case report</h4>This report presents a rare and first-reported case of localized abscess and axillary neuropathy following intradermal administration of PVRV in a pediatric patient. The child developed pain, swelling, and localized infection after the final vaccine dose, progressing to shoulder weakness due to axillary nerve involvement. Incision and drainage for the abscess and conservative management for axillary neuropathy resulted in full recovery.<h4>Conclusion</h4>The case highlights the need for vigilance in identifying and managing rare vaccine-associated adverse events.