Rabies (patient information): Difference between revisions
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'''For the WikiDoc page for this topic, click [[Rabies|here]]''' | |||
{{Rabies (patient information)}} | {{Rabies (patient information)}} | ||
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==Overview== | ==Overview== | ||
Rabies is a deadly animal disease caused by a virus. It can happen in wild animals, including raccoons, skunks, bats and foxes, or in dogs, cats or farm animals. People get it from the bite of an infected animal. | Rabies is a deadly animal [[disease]] caused by a [[virus]]. It can happen in wild animals, including raccoons, skunks, bats and foxes, or in dogs, cats or farm animals. People get it from the [[bite]] of an infected animal. | ||
==What are the symptoms of Rabies?== | ==What are the symptoms of Rabies?== | ||
Most patients will present after a documented, highly suspected, or likely exposure from a rabid animal. Clinical illness is compatible with acute, progressive encephalitis. After infection, the incubation period is highly variable, but it lasts approximately 1–3 months. The disease progresses acutely from a nonspecific, prodromal phase with fever and vague symptoms, to a neurologic phase, characterized by anxiety, paresis, paralysis, and other signs of encephalitis; spasms of swallowing muscles can be stimulated by the sight, sound, or perception of water (hydrophobia); and delirium and convulsions can develop, followed rapidly by coma and death. Once clinical signs manifest, most patients die in 7–14 days. | Most patients will present after a documented, highly suspected, or likely exposure from a rabid animal. Clinical illness is compatible with acute, progressive [[encephalitis]]. After [[infection]], the [[incubation period]] is highly variable, but it lasts approximately 1–3 months. The [[disease]] progresses acutely from a nonspecific, [[prodromal]] phase with [[fever]] and vague symptoms, to a [[neurologic]] phase, characterized by [[anxiety]], [[paresis]], [[paralysis]], and other signs of [[encephalitis]]; [[spasms]] of [[swallowing]] [[muscles]] can be stimulated by the [[sight]], [[sound]], or perception of water ([[hydrophobia]]); and [[delirium]] and [[convulsions]] can develop, followed rapidly by [[coma]] and death. Once [[clinical signs]] manifest, most patients die in 7–14 days. | ||
==What causes Rabies?== | ==What causes Rabies?== | ||
It can happen in wild animals, including raccoons, skunks, bats and foxes, or in dogs, cats or farm animals. People get it from the bite of an infected animal. | It can happen in wild animals, including raccoons, skunks, bats and foxes, or in dogs, cats or farm animals. People get it from the [[bite]] of an [[infected]] animal. | ||
==Who is at highest risk?== | ==Who is at highest risk?== | ||
Being around wild animals, including raccoons, skunks, bats and foxes, or in dogs, cats or farm animals is a [[risk factor]]. The disease is transmitted through the bite of an [[Infection (disambiguation)|infected]] animal. | |||
==When to seek urgent medical care?== | ==When to seek urgent medical care?== | ||
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==Diagnosis== | ==Diagnosis== | ||
Diagnosis is straightforward in an encephalitic patient recently exposed to a rabid animal. However, in lieu of a history of a documented exposure and the potential for long incubation periods of weeks to months after initial viral transmission, clinical diagnosis may be complicated by the variety of symptoms and the differential exclusion of other etiologic agents associated with encephalitis. Definitive diagnosis can be made by demonstrating virus in neuronal tissue, corneal impressions, or nuchal biopsy, either by detecting viral antigens or amplicons. Additional detailed information on diagnostic testing may be obtained from CDC (www.cdc.gov/rabies). A specific serologic response to virus can also support the diagnosis in an encephalitic patient. | Diagnosis is straightforward in an [[Encephalitis|encephalitic]] patient recently exposed to a rabid animal. However, in lieu of a history of a documented exposure and the potential for long [[Incubation period|incubation periods]] of weeks to months after initial [[viral]] transmission, clinical diagnosis may be complicated by the variety of symptoms and the differential exclusion of other [[etiologic]] agents associated with [[encephalitis]]. Definitive diagnosis can be made by demonstrating [[virus]] in [[neuronal tissue]], [[corneal]] impressions, or nuchal biopsy, either by detecting [[viral]] [[antigens]] or [[amplicons]]. Additional detailed information on diagnostic testing may be obtained from [[Centers for Disease Control and Prevention|CDC]] (www.cdc.gov/rabies). A specific [[Serological|serologic]] response to [[virus]] can also support the diagnosis in an encephalitic patient. | ||
==Treatment options== | ==Treatment options== | ||
No treatment is effective after the development of clinical signs, but the extremely rare case of recovery after extensive medical interventions offers hope that future experimental therapeutics may be developed.In people, symptoms of rabies include fever, headache and fatigue, then confusion, hallucinations and paralysis. Once the symptoms begin, the disease is usually fatal. A series of shots can prevent rabies in people exposed to the virus. You need to get them right away. If an animal bites you, wash the wound well; then get medical care. | No treatment is effective after the development of [[clinical signs]], but the extremely rare case of recovery after extensive medical interventions offers hope that future experimental therapeutics may be developed.In people, [[symptoms]] of rabies include [[fever]], [[headache]] and [[fatigue]], then [[confusion]], [[hallucinations]] and [[paralysis]]. Once the symptoms begin, the disease is usually fatal. A series of shots can prevent [[Rabies virus|rabies]] in people exposed to the virus. You need to get them right away. If an [[Animal bite|animal bites]] you, wash the [[wound]] well; then get [[Health care|medical care]]. To help prevent rabies | ||
To help prevent rabies | * [[Vaccination|Vaccinate]] your pet. [[Rabies]] [[vaccines]] are available for dogs, cats and farm animals | ||
* Vaccinate your pet. Rabies vaccines are available for dogs, cats and farm animals | |||
* Don't let pets roam | * Don't let pets roam | ||
* Don't approach stray animals. Animals with rabies might be aggressive and vicious, or tired and weak | * Don't approach stray animals. Animals with rabies might be aggressive and vicious, or tired and weak | ||
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==Possible complications== | ==Possible complications== | ||
Infection in brain and spinal cord | [[Infection]] in [[brain]] and [[spinal cord]] and death. | ||
==Prevention== | ==Prevention== | ||
Vaccination of pets can prevent the episodes of rabies | [[Vaccination]] of pets can prevent the episodes of rabies. | ||
==Sources== | ==Sources== | ||
Additional information can be obtained from the [[World Health Organization]] (http://www.who.int/rabies/rabnet/en/), the Pan American Health Organization (http://www.paho.org/english/ad/dpc/vp/rabia.htm), the Rabies Bulletin-Europe ([http://www.rbe.fli.bund.de/ http://www.rbe.fli.bund.de]), the World Organization for Animal Health (http://www.oie.int/eng/en_index.htm), local health authorities of the country, the embassy, or the local consulate’s office in the United States. Lists are provided only as a guide, because up to date information may not be available, surveillance standards vary, and reporting status can change suddenly as a result of disease re-introduction or emergence. | |||
http://wwwnc.cdc.gov/travel/yellowbook/2012/chapter-3-infectious-diseases-related-to-travel/rabies.htm | http://wwwnc.cdc.gov/travel/yellowbook/2012/chapter-3-infectious-diseases-related-to-travel/rabies.htm | ||
{{WS}}{{WH}} | {{WS}}{{WH}} | ||
[[Category: | [[Category:Disease]] | ||
[[Category: | [[Category:Viral diseases]] | ||
[[Category:Mononegavirales]] | [[Category:Mononegavirales]] | ||
[[Category: | [[Category:Neurology]] | ||
[[Category:Zoonoses]] | [[Category:Zoonoses]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category: | [[Category:Intensive care medicine]] | ||
[[Category:Patient Information]] | |||
[[Category:Patient | [[Category:Infectious disease]] | ||
[[Category:Medicine]] | |||
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[[Category: | |||
Latest revision as of 23:56, 29 July 2020
For the WikiDoc page for this topic, click here
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Rabies |
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Rabies On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Rabies is a deadly animal disease caused by a virus. It can happen in wild animals, including raccoons, skunks, bats and foxes, or in dogs, cats or farm animals. People get it from the bite of an infected animal.
What are the symptoms of Rabies?
Most patients will present after a documented, highly suspected, or likely exposure from a rabid animal. Clinical illness is compatible with acute, progressive encephalitis. After infection, the incubation period is highly variable, but it lasts approximately 1–3 months. The disease progresses acutely from a nonspecific, prodromal phase with fever and vague symptoms, to a neurologic phase, characterized by anxiety, paresis, paralysis, and other signs of encephalitis; spasms of swallowing muscles can be stimulated by the sight, sound, or perception of water (hydrophobia); and delirium and convulsions can develop, followed rapidly by coma and death. Once clinical signs manifest, most patients die in 7–14 days.
What causes Rabies?
It can happen in wild animals, including raccoons, skunks, bats and foxes, or in dogs, cats or farm animals. People get it from the bite of an infected animal.
Who is at highest risk?
Being around wild animals, including raccoons, skunks, bats and foxes, or in dogs, cats or farm animals is a risk factor. The disease is transmitted through the bite of an infected animal.
When to seek urgent medical care?
In case of a dog bite contact a health professional.
Diagnosis
Diagnosis is straightforward in an encephalitic patient recently exposed to a rabid animal. However, in lieu of a history of a documented exposure and the potential for long incubation periods of weeks to months after initial viral transmission, clinical diagnosis may be complicated by the variety of symptoms and the differential exclusion of other etiologic agents associated with encephalitis. Definitive diagnosis can be made by demonstrating virus in neuronal tissue, corneal impressions, or nuchal biopsy, either by detecting viral antigens or amplicons. Additional detailed information on diagnostic testing may be obtained from CDC (www.cdc.gov/rabies). A specific serologic response to virus can also support the diagnosis in an encephalitic patient.
Treatment options
No treatment is effective after the development of clinical signs, but the extremely rare case of recovery after extensive medical interventions offers hope that future experimental therapeutics may be developed.In people, symptoms of rabies include fever, headache and fatigue, then confusion, hallucinations and paralysis. Once the symptoms begin, the disease is usually fatal. A series of shots can prevent rabies in people exposed to the virus. You need to get them right away. If an animal bites you, wash the wound well; then get medical care. To help prevent rabies
- Vaccinate your pet. Rabies vaccines are available for dogs, cats and farm animals
- Don't let pets roam
- Don't approach stray animals. Animals with rabies might be aggressive and vicious, or tired and weak
Where to find medical care for Rabies?
Directions to Hospitals Treating Rabies
What to expect (Outlook/Prognosis)?
No treatment is effective after the development of clinical signs, but the extremely rare case of recovery after extensive medical interventions offers hope that future experimental therapeutics may be developed.
Possible complications
Infection in brain and spinal cord and death.
Prevention
Vaccination of pets can prevent the episodes of rabies.
Sources
Additional information can be obtained from the World Health Organization (http://www.who.int/rabies/rabnet/en/), the Pan American Health Organization (http://www.paho.org/english/ad/dpc/vp/rabia.htm), the Rabies Bulletin-Europe (http://www.rbe.fli.bund.de), the World Organization for Animal Health (http://www.oie.int/eng/en_index.htm), local health authorities of the country, the embassy, or the local consulate’s office in the United States. Lists are provided only as a guide, because up to date information may not be available, surveillance standards vary, and reporting status can change suddenly as a result of disease re-introduction or emergence.