Hi, I was bitten by a dog last week.  There were multiple breaks in the skin and the area was red and swollen as expected.  Now a week later, I have developed a small pea-sized lump on my lower jaw where the dogs canine broke through the skin.  It is sensitive to the touch and very hard.  Should I be concerned?  The dogs rabies shot was up-to-date.
Hi, Welcome to Chat Doctor. It is unfortunate that you were bitten by dog. Irrespective of rabies vaccine of dog, you need to do local wound management and take anti-rabies vaccine. Post-exposure prophylaxis consists of:1. Local treatment of the wound, initiated as soon as possible after exposure;2. A course of potent and effective rabies vaccine that meets WHO recommendations; and3. The administration of rabies immunoglobulin, if indicated. Vaccination after an exposure: A person who is exposed and has never been vaccinated against rabies should get 5 doses of rabies vaccine - one dose right away, and additional doses on the 3rd, 7th, 14th and 30th days. They should also get another shot called Rabies Immune Globulin at the same time as the first dose. Hope this information is useful.