Description Rabies is a fatal v...
Description
Rabies is a fatal viral disease passed to humans from infected animals. Patients contract the virus by being bitten by an infected animal since the virus is present in the animal's saliva. Exposure of an open wound or mucous membrane to infected saliva or bat guano can also rarely cause rabies. The virus infects the brain and once symptoms appear is almost always fatal which is why prevention and immunization of exposed patients is so important. The disease can be contracted from pets although the most common source is wild animals. Stray dogs and cats in developing countries are also a significant cause of the disease. The most common pets that can transmit rabies are: cats, dogs, cows, rabbits, ferrets, horses and goats. The most common wild animals are: bats, beavers, woodchucks, coyotes, skunks, monkeys, raccoons and foxes.
Symptoms
Symptoms are usually not present until just before death. They include fever, headache, anxiety, confusion, hallucinations, problems swallowing, bizarre phobias, difficulty sleeping, drooling.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be done. The treatment to prevent rabies is begun on all patients with bites from animals that could have rabies. There are blood tests to determine if someone has contracted rabies.
Specialists:
Emergency Medicine, Pediatrics, Family Practice, Infectious Disease Medicine, Pediatric Infectious Disease Medicine
Workup:
A history and physical exam will be done. The treatment to prevent rabies is begun on all patients with bites from animals that could have rabies. There are blood tests to determine if someone has contracted rabies.
Specialists:
Emergency Medicine, Pediatrics, Family Practice, Infectious Disease Medicine, Pediatric Infectious Disease Medicine
Treatment
The disease is almost always fatal once symptoms appear. Every person with a bite from an animal suspected of having rabies must be treated to prevent the disease. The healthcare provider will clean the bite then inject rabies immune globulin around the wound and give another shot in the arm or leg. The patient should also receive vaccination against rabies.