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- Title
Human Rabies - Missouri, 2014.
- Authors
Pratt, P. Drew; Henschel, Kathleen; Turabelidze, George; Grim, Autumn; Ellison, James A.; Orciari, Lillian; Yager, Pamela; Franka, Richard; Xianfu Wu; Xiaoyue Ma; Wadhwa, Ashutosh; Smith, Todd G.; Petersen, Brett; Shiferaw, Miriam; Wu, Xianfu; Ma, Xiaoyue
- Abstract
On September 18, 2014, the Missouri Department of Health and Senior Services (MDHSS) was notified of a suspected rabies case in a Missouri resident. The patient, a man aged 52 years, lived in a rural, deeply wooded area, and bat sightings in and around his home were anecdotally reported. Exposure to bats poses a risk for rabies. After two emergency department visits for severe neck pain, paresthesia in the left arm, upper body tremors, and anxiety, he was hospitalized on September 13 for encephalitis of unknown etiology. On September 24, he received a diagnosis of rabies and on September 26, he died. Genetic sequencing tests confirmed infection with a rabies virus variant associated with tricolored bats. Health care providers need to maintain a high index of clinical suspicion for rabies in patients who have unexplained, rapidly progressive encephalitis, and adhere to recommended infection control practices when examining and treating patients with suspected infectious diseases.
- Subjects
RABIES virus; NECK pain; PARESTHESIA; IBUPROFEN; THERAPEUTICS
- Publication
MMWR: Morbidity & Mortality Weekly Report, 2016, Vol 65, Issue 10, p253
- ISSN
0149-2195
- Publication type
journal article
- DOI
10.15585/mmwr.mm6510a1