MMWR. Morbidity and mortality weekly report · 2017
Human Rabies - Puerto Rico, 2015.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Styczynski Ashley, Tran Cuc, Dirlikov Emilio, Zapata María Ramos, Ryff Kyle, Petersen Brett, Sanchez Anibal Cruz, Mayshack Marrielle, Martinez Laura Castro, Condori Rene, Ellison James, Orciari Lillian, Yager Pamela, Peña Rafael González, Sanabria Dario, Velázquez Julio Cádiz, Thomas Dana, García Brenda Rivera
Аннотация
On December 1, 2015, the Puerto Rico Department of Health (PRDH) was notified by a local hospital of a suspected human rabies case. The previous evening, a Puerto Rican man aged 54 years arrived at the emergency department with fever, difficulty swallowing, hand paresthesia, cough, and chest tightness. The next morning the patient left against medical advice but returned to the emergency department in the afternoon with worsening symptoms. The patient's wife reported that he had been bitten by a mongoose during the first week of October, but had not sought care for the bite. While being transferred to the intensive care unit, the patient went into cardiac arrest and died. On December 3, rabies was confirmed from specimens collected during autopsy. PRDH conducted an initial rapid risk assessment, and five family members were started on rabies postexposure prophylaxis (PEP).