Rabies
Rabies is a viral disease usually transmitted through the saliva of infected mammals. It causes a brain infection which is almost universally fatal. The most common vectors include skunks, raccoons, and bats. Any possible bite, scratch or contact with mucous membranes from these mammals should invoke post-exposure vaccination. This includes both Rabies immune globulin and active vaccine. It is important to immediately wash any wounds, if possible with betadine or other antiviral disinfectant. Those at risk for exposure should strongly consider prophylactic vaccination. There have been 2 cases of rabies in cavers with no known bite exposure. These were in caves with large numbers of bats. With exposure, one should receive booster doses of the vaccine even if previously vaccinated. It is important to treat even if there is a delay in getting to medical attention, as there have been cases of delayed activation for months.
MD Consult L.L.C. http://www.mdconsult.com
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