Introduction
Rabies is a contagious, dangerous, highly deadly disease common to humans and animals. The disease exists in many countries around the world, including Iran (1).  The neurotropic virus is a member of the genus Lesaviruses and belongs to the Rhabdoviridae family. Most warm-blooded animals are susceptible to this disease. The virus is specifically present in the saliva of infected mammals and is transmitted by its bite. Once the virus enters the host central nervous system, progressive encephalomyelitis develops (2).
According to World Health Organization, more than 2.5 billion people live in areas at risk of rabies. The death toll from rabies is estimated at 59,000, and the number of people vaccinated against the disease is more than 15 million. Children aged 5-15 are at higher risk (3). Despite the efforts made to strengthen the rabies care and control system in the country, managing this disease is challenging. it is endemic and still highly prevalent in the country, and is still one of the important health challenges. All provinces are under infected with this disease, according to the Pasteur Institute of Iran has been increasing (4).
Coronavirus infected millions, and the WHO declared it a pandemic on March 11, 2020. SARS-CoV-2 entered Iran in February 2017. The rapid spread of Covid-19 disease in all countries has caused countless human and financial losses. Governments have been forced to implement policies such as quarantine and social distancing, and efforts to monitor and control other areas of public health, including rabies, have diminished (5). A study in Peru has shown that the Covid-19 disease has been linked to the spread of rabies and failure to take care of rabies prevention activities has serious effects on rabies and, consequently, on the risk of rabies in humans (6).
Here is a case study of a 13-year-old boy with a history of being bitten by a rabid fox. After his death, Covid-19 test was reported positive, thus emphasizing the importance of the care system in a pandemic situation.