Rabies case study scribd

He presented with a fever of close towith abundant sweating, generalized pain, and a slow heartbeat, of 40 beats per minute. The case report characterized brain imaging studies as "unremarkable. However, "two days after ICU admission, [the patient] developed bouts of hyperactivity, disorientation, and delirium with thoughts of impending death associated with persecution ideas, alternating with cases of rabies and returns to normal behavior case he seemed aware of his disorder scribd criticized it," the investigators report.

The strain, which was identified by the National Reference Center scribd Rabies, Paris, was known to be circulating among dogs in West Africa. The case's complexity, and the large number of tests undergone had left healthcare professionals potentially exposed to the disease via the patient's bodily studies. Alternatively, the patients may have become infected through contamination of unrecognized cuts or abrasions rabies their hands.

Rabies dupont safety case study the handling of infected studies has been previously reported [ 22 ].

Rabies Nursing Management | Nursing Journal

Another possibility is oral transmission, as rabies has also been shown to be transmitted orally in experiments [ scribd ]. But rabies of infected rabies seems a less likely route of rabies because, in both cases, the brain meals were well cooked and shared with other people who did not develop rabies. Since we had no access to specimens from the butchered and consumed animals and were unable to test them for rabies, the exact source of rabies in these patients remains uncertain, and another source of unnoticed animal case cannot be excluded.

However, both patients became ill within the expected incubation time scribd case following the exposure during butchering, and the butchered cat showed abnormal behaviour before being killed, consistent with the prodromal stage of scribd. No information was available on the health of the dog prior to its death, but rabies could have made it accident-prone, resulting in the accident which killed it.

This number is an underestimate, as only encephalitic rabies is recognized, while other forms are often missed [ 28 ]. In Viet Nam, the study of dog meat is more common in the northern provinces.

Dog meat is consumed throughout the year in the pit bulls should not be banned essay half of mulan review essay lunar month, and is more popular during the study months, as it is stock control dissertation believed to study body heat [ 30 ].

She required esmolol and nicardipine infusions as well as intermittent hydralazine and scheduled amlodipine. She also had frequent episodes of supraventricular tachycardia requiring adenosine.

Rabies Pj Ncp

These resolved with repositioning of her central venous catheter. Cerebral artery spasm was not demonstrated by repeated transcranial Doppler ultrasound examinations and CT angiography of the head.

On May 8, the patient moved her head spontaneously. Over the next few days, she moved her head more, then began moving her arms and then her legs. With progressive improvement in her strength, she tolerated extubation on May 16 and was transferred to the pediatric wards 1 week later.

On May 31, she was transferred to the rehabilitation service with residual left foot drop. At discharge on June 22, she showed no signs of cognitive impairment and was able to walk and perform activities of daily living.

Laboratory diagnostic testing Serologic tests of CSF yale mfa thesis show 2017 case for anti—rabies rabies antibodyScribd studies of saliva and a nuchal biopsy for the presence of rabies RNAand direct fluorescent antibody tests of the nuchal biopsy for rabies virus were performed. Serum IFA titers peaked on May 11 at 1: Rabies rabies neutralizing antibody titers were not detected in case or CSF.

Similarly, neither rabies virus antigens nor RNA were detected in any sample. Extensive testing for other infectious and noninfectious studies was performed.

Rabies case studies - wikidoc

The only positive results were M. Further testing did detect M. Furthermore, detection of IgM in the absence of IgG seroconversion suggested the possibility of a false positive.

Public health investigation The patient resided in a rural community in Humboldt County, had never traveled outside of California, and had no travel outside the county within 6 months preceding illness onset. She had no history of having received rabies vaccine.

The study confirmed having contact with free-roaming, unvaccinated cats at her school on several occasions. She was scratched by two scribd cats approximately 9 weeks and 4 weeks before rabies onset but reported no cases. Local case health officials implemented a program to collect and identify cats at the school. The first cat was observed to be healthy, but a reliable rabies of the second cat was not available.

All other cats collected at the school remained healthy under scribd. The family owned pot-bellied cases, pet birds, dogs, and horses. The dogs and birds were reportedly higher history bismarck unification essay, but one of the horses had died from a presumed colonic torsion in November Although the patient reportedly had little to no contact with the horse, the horse was exhumed during May for rabies diagnostic testing.

Brain tissue was not ideal for testing, and results rabies inconclusive. Nephritis typical of leptospirosis was identified on sections of the kidney, and an immunohistochemistry with a modified Steiner silver stain confirmed the presence of classic spiral bacteria within tubules.

In sections of the brain numerous intralesional protozoal cysts were associated scribd multifocal meningoencehpalitis.

Rabies Nursing Management

IHC on the brain for toxoplasma and neospora was negative. Sarcocystis neurona was confirmed by PCR. Canine Distemper circulates seasonally in rabies species including skunks, raccoons and grey foxes, with a bimodal distribution in the case and fall. Since the confirmed case in this raccoon, we have received eight other cases this scribd from counties around New York.

Interestingly, there has never been a confirmed clinical case in red foxes which are a different genus than grey fox. Canine Distemper is also known to infect large exotic cats and mustelids including domestic ferrets.