Recently, the news that "a case of rabies died 3 days after a case of rabies was confirmed in Hangzhou" rushed to the hot search and attracted attention.
A 48-year-old man was diagnosed with rabies
He died three days later
According to Xu Xiang, an infectious disease doctor at a hospital in Hangzhou, on the evening of March 27, a 48-year-old male patient, Master Yang (pseudonym), who came from Shengzhou, was treated.
At that time, Master Yang was very irritable and restless, found a dark corner where no one was around, curled up, spat on the ground, and refused to come out until the doctor called him.
Master Yang told the doctor that he had a low-grade fever for several days, and when the wind blew, he would feel tightness in his chest, tightness in his throat, and he felt very thirsty, but he was afraid to drink water.
Judging by the symptoms, doctors highly suspected that they were infected with the rabies virus. Although the patient denied being bitten or scratched by a dog or cat, the rabies virus was found through NGS testing of cerebrospinal fluid.
Three days later, the hospital called the patient back and asked his wife to learn that Master Yang had passed away. When asked if he had any history of scratches and scratches, Master Yang's wife said that her husband had been bitten by a dog a few years ago, but it was not very serious at the time, so he didn't take it seriously, and he had not been vaccinated against rabies.
Dr Koh said rabies is a zoonotic infectious disease caused by the rabies virus. It is characterized by the fact that once the disease occurs, there is no special treatment, and the mortality rate is almost as high as 100%.
The doctor said that rabies is a zoonotic acute infectious disease with a long incubation period, and after the onset of the disease, it will show a high degree of fear, mania, hydrophobia, and wind, and gradually appear throat muscle spasms, paralysis, respiratory center paralysis and other symptoms. At present, rabies is a preventable and incurable disease, with a maximum incubation period of up to 19 years.
Stretching:
A 7-year-old boy died of injuries sustained by a neighbor's dog
The mother regretted not getting vaccinated for the sake of face
This is not the first time that he died of rabies because he was not vaccinated in time after being bitten by a dog.
According to Henan TV's "City Report" column, on September 4 last year, a 7-year-old boy in Shangqiu, Henan Province, died after being scratched by a neighbor's dog and died because he failed to receive rabies vaccination in time, which is sad.
Afterwards, the mother burst into tears and bluntly said that she had harmed the baby by taking care of her face.
It turned out that after Ms. Wang's 7-year-old son was scratched by a neighbor's Chu's dog, her mother, Ms. Wang, took her son to the hospital for rabies vaccination. At the hospital, she met a neighbor, who told her that there was no problem with the dog, and she felt that "I had to take an injection and slander someone, so I didn't take it, and I thought about getting it back to Zhejiang", but after she took her son back to Zhejiang, his son had symptoms of fever and fear of water.
Ms. Wang said that at first, the child said that he was uncomfortable, and she thought it was an excuse he made to avoid going to school, until one day when her son was lying down and suddenly sat up like a robot, and she realized that something was wrong.
Ms. Wang took her son to many hospitals in Zhejiang and Shanghai for treatment, but she was unable to save her son's life. "In the end, I didn't come back to the rescue, and my family blamed me, and the family was scattered." Ms. Wang returned to her hometown in Yucheng, Shangqiu, Henan Province to negotiate with her neighbor, but the neighbor said that "if you want money, you will have to pay 10,000 yuan", which made her very uncomfortable and dissatisfied, so she had to solve the problem through legal means.
The People's Court of Yucheng County, Shangqiu City, Henan Province ruled in the first instance that Ms. Wang should bear 30 percent of the responsibility, and her neighbor Chu should bear 70 percent of the responsibility.
Once bitten by a cat or dog
See your doctor as soon as possible
Xu Xiang, an infectious disease doctor at Hangzhou First People's Hospital, said: "At present, rabies is mainly prevented, and once bitten by a cat or dog, the wound should be cleaned as soon as possible and rinsed with soap or water. Go to the nearest hospital as soon as possible to get the rabies vaccine, and if you are scratched or scratched by a stray cat or dog, you should also be given rabies immunoglobulin in addition to the rabies vaccine. ”
Rabies vaccination should be given within 24 hours of being bitten and scratched, generally within six months of vaccination, and if you are bitten by a suspicious animal, you do not need to be injected again. If it is more than half a year, the bite will need to be boosted.
In addition to cats and dogs, foxes, badgers, and bats are also high-risk animals for rabies, as well as domestic animals such as cattle, sheep, horses, and pigs, as well as rodents such as rabbits and rats.
There are many misconceptions about rabies
There is no chance of a fluke
Some people think that if you are scratched and bitten by an animal, you will be fine as long as it does not bleed, but is this true?
In this regard, Wang Chuanlin, chief physician of the emergency surgery department of Peking University People's Hospital, said that many people will mistakenly believe that small wounds and no obvious bleeding can be left untreated. However, it is not safe, and it is necessary to carefully rinse the wound and get a rabies vaccine.
According to experts, the rabies virus can enter the wound through saliva to cause viral infection, so the skin is rubbed in the process of contact with animals, or the animal saliva comes into contact with the skin and mucous membranes, and the wound is licked by the animal, and the rabies vaccine should be vaccinated as soon as possible, the sooner the better.
It is important to note that patients who are injured by animals need to be prevented not only from rabies but also from wound infection, which is even more important because animal injuries are high-risk exposures to tetanus.
In addition, domestic pets can also get sick from scratching and biting, never ignore the risk!
It should be noted that the rabies vaccine can be given by everyone, and there are no contraindications to the vaccine after exposure, and vaccination cannot be refused due to pregnancy or breastfeeding.
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Source: Hangzhou Traffic 918, Hangzhou TV, Henan Metropolis Channel
Review: Huang Zhijun
Editor: Wu Yuting