-CNS and Salivary glands are the target organs of rabies virus. They travel from axons to the Brain.
Paanu ito nakukuha?
-Bites and licks on abrasions or intact mucus membrane by infected animals. Saliva is the vehicle of transmission. Bites,Licks,corneal graft,salivary aerosol can cause transmission.
Saan ito nakukuha?
Not all people bitten by a rabid animal develop disease, but once it manifests it is almost always fatal.
♦Parasthesia at the bitten site.
♦Hydrophobia-50%, Photophobia, Aerophobia
♦Delusion and Hallucinations
♦Spitting, Biting, Mania
♦Neurological abnormalities- descending paralysis
♦Death within a week.
♦Only symptomatic. Once the disease has started death is almost inevitable.
♦Patient should be kept in quite, dark room avoiding any stimuli.
♦Respiratory and Cardiovascular support may be necessary.
♦Drugs- Morphine,Diazepam, Cholorpromazine.
♦All patient should receive post-exposure prophylaxis.
♦Tetanus toxoids and Antibiotics.
---Care of wound after Bite by Animal---
♦Immediately wash the wound with soap water for 5 minutes.
♦Adequate cleansing of the wound.
♦Virucidal agents- Alcohol, Tincture Iodine,Povidine Iodine can be used for cleaning.
♦Do not suture the wound immediately, remove any necrotic debris if present.
♦Watch for the symptoms in animal if traceable.
♦Go for post-exposure Prophylaxis.