<s>[INST] Hello Doctor, my right big toe was bitten by a dog, I havent been to the doctors and I havent had a tetanus shot for it, the bite didnt draw blood, but there is now a painful lump in between my nail and my Toe, I have Tried Home Remadies but nothing seems to work, what would you Suggest? [/INST] Hello, Welcome to Chat Doctor, Rabies is a disease which is also transmitted by bite of the monkey, it is a 100% fatal disease, but it is 100% preventable by proper and adequate treatment. As you were bitten by a dog on the big toe which has led to painful lump in between the nail and the nail bed with internal bleeding at the site of bite, according to WHO categorizes it has been categorized into Cat III. Cat III requires both active and passive immunization. Active immunization with antirabies vaccine on days 0,3,7,14 and 28. The passive immunization with rabies immunoglobulins should be given in and around the bite site as early as possible. You need to take a shot of tetanus injection too. The aforementioned treatment will protect you against developing the disease rabies. Thank you. </s>