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Hundreds of Health Care Workers Exposed to Rabies
JAMA ( IF 51.273 ) Pub Date : 2020-03-24 , DOI: 10.1001/jama.2020.2851
Bridget M. Kuehn

A Utah man who became infected with rabies after handling several bats potentially exposed 279 other people, most of them health workers. The case was first reported to the Utah Department of Health on November 3, 2018, but the 55-year-old man’s symptoms had begun 18 days earlier. The man initially sought chiropractic care for arm and neck pain he attributed to a previous injury. Two days later he went to the emergency department with ongoing pain, a burning sensation in his arm, and numbness in his hand. He had no fever or chills but reported being unable to drink. He received a prescription steroid and was discharged. Two days later he returned to the hospital with breathing difficulties and lightheadedness. After being transferred to 2 more hospitals with worsening symptoms, he developed a high fever and became comatose. The man received steroids for presumed autoimmune encephalitis. He was then transferred to a fourth hospital after developing seizures. An infectious disease specialist there noted the man’s muscle spasms while swallowing could indicate rabies.
更新日期:2020-04-03

 

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