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Fatal case of human rabies infection: A case report

Asian Pacific Journal of Tropical Medicine 2019年第11期12卷 528-530页

作者： Seyed Abbas Hosseinalipour faranak firoozfar Abedin Saghafipour Nazanin Ziasheikholeslami Qom Provincial Health Center Qom University of Medical SciencesQomIran Vector-borne Diseases Research Center North Khorasan University of Medical SciencesBojnurdIran Department of Public Health Faculty of HealthQom University of Medical SciencesQomIran Department of Infectious Diseases Faculty of MedicineQom University of Medical SciencesQomIran

Rationale:Rabies,as an acute viral disease of the mammal’s central nervous system(CNS),with a high mortality rate,is transmitted to humans through the bite of a rabid animals,especially canine and *** concerns:An Afghan man,aged 50 years was bitten by a fox in a farm around the Qom-Tehran road,Central Iran in *** patient visited the doctor after the bite,however the period between incidence and hospital visit was not established and no indication was given whether the bite site injury was thoroughly *** patient was neither referred to the health center for vaccination(post-exposure prophylaxis)nor an effective therapeutic measures was ***-five days post-exposure,the patient presented with symptoms such as headache,fever,tingling and burning sensation and was referred to the Centers for Disease Control and Prevention(CDC)unit of Qom Provincial Health ***:Rabies ***:Forty-five days after the animal bite,in CDC of Qom Health Center,he received rabies post-exposure prophylaxis treatment and was referred to an infectious diseases *** on the history of animal bites,the patient was classified as probable case of *** clinical symptoms of rabies appeared in patient after ***:Ultimately the patient died in hospital 4 days after hospitalization(50 days after the occurrence of animal bite).After referring the patient to the CDC,the patient’s saliva(0.5-1 mL)was sampled three times every 3-6 hours and tested by *** rabies was confirmed by Department of Virology in the Pasteur Institute of ***:Physicians and clinicians have responsibilities to be critical in observations and take prompt actions in case of animal bites,as rabies usually develops within 7 to 14 days,and delayed intervention after the onset of symptoms,vaccine and serum injections cannot lead to the survival of the patient.

关键词： Animal bite Preventive measures Rabies Iran

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