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Terror and muscle spasms, provoked by blowing a gentle stream of air onto the face
    Differential Diagnosis[Top] [Nav]
rabies
    Discussion -- not available online[Top] [Nav]
    Update Comments[Top] [Nav]
  • Bats caused 15 of the 28 cases of human rabies acquired in the United States since 1980, and most of these patients never reported a bite or a scratch. Thus, the CDC recommends "in situations in which a bat is physically present and the person(s) cannot reasonably exclude the possibility of a bite exposure, post-exposure prophylaxis should be given unless prompt capture and testing of the bat has excluded rabies infection." [101]
  • Strong evidence that the incubation period of rabies in humans can last up to 6 years. [102]
  • Nice analysis of the Smith paper. Mentions that rabies may be contracted without an animal bite, e.g. via corneal transplant, via contact with saliva from infected animals, or via inhalation of the virus in a laboratory or bat-infested cave. [103]
  • T Hemachudha et al note that dogs can be chronic asymptomatic excretors of the rabies virus. This is truly frightening. The question is, can such dogs transmit the virus to humans? [104]
  • Princeton historian Gerald Geison has scrutinized Pasteur's scientific notebooks and found evidence of serious scientific misconduct. [105]
  • "We all now know that the human vampire never really existed. Or did he? A bite from an irrationally aggressive animal leads to aggressively psychotic behavior in the human victim. Doesn't it sound like rabies?" [106]
  • Contains the CDC recommendation about bats quoted in the paper by Feder. [114]
    Footnotes in Print Edition[Top] [Nav]
    (1) "I think we've got rabies!".
  Adams S.   Dartmouth Medical School Alumni Magazine. 1985(fall):21-23, 35.
    (2) The clinical picture of rabies in man.
  Warrell DA.   Trans R Soc Trop Med Hyg 1976;70(3):188-95.  Pubmed+Abstract  Similars
    (3) The Nature and Treatment of Rabies or Hydrophobia. 2nd ed.
  Dolan TM. London: Ballière, Tindall, and Cox, 1879: 136.
    (4a) Rabies without known exposure to a rabid animal.
  Anonymous.   Ann Int Med. 1985;102(1):I-123.
Reprint of "Human rabies -- Pennsylvania," below.
    (4b) Animal rabies: implications for diagnosis and human treatment.
  Fishbein DB, Baer GM.   Ann Intern Med 1988 Dec 15;109(12):935-7.  Pubmed  Similars
    New References[Top] [Nav]

Animals and rabies
    101.Bat bite? [letter].
  Feder HM Jr, Nelson R, et al.   Lancet 1997 Nov 1;350(9087):1300.  Pubmed  Similars
    102.Unexplained rabies in three immigrants in the United States. A virologic investigation [see comments].
  Smith JS, Fishbein DB, et al.   N Engl J Med 1991 Jan 24;324(4):205-11.  Pubmed+Abstract  Similars
    103.Human rabies: strain identification reveals lengthy incubation [editorial].
  Lancet 1991 Apr 6;337(8745):822-3.  Pubmed  Similars
    104.Latent rabies [letter; comment].
  N Engl J Med 1991 Jun 27;324(26):1890-1.  Pubmed  Similars

History and literature
    105.Pasteur notebooks reveal deception [news].
  Anderson C.   Science 1993 Feb 19;259(5098):1117.  Pubmed  Similars
    106.Prince Dracula, rabies, and the vampire legend [letter].
  Heick A.   Ann Intern Med 1992 Jul 15;117(2):172-3.  Pubmed  Similars

Reviews
    107.The Natural History of Rabies. 2nd ed..
  Baer GM. Boca Raton, FL: CRC Press, 1991.   Amazon.com
    108.Rabies [see comments].
  Fishbein DB, Robinson LE.   N Engl J Med 1993 Nov 25;329(22):1632-8.  Pubmed  Similars
    109.Features and treatment of rabies.
  Frenia ML, Lafin SM, et al.   Clin Pharm 1992 Jan;11(1):37-47.  Pubmed+Abstract  Similars
    110.Human rabies in the United States, 1960 to 1979: epidemiology, diagnosis, and prevention.
  Anderson LJ, Nicholson KG, et al.   Ann Intern Med 1984 May;100(5):728-35.  Pubmed+Abstract  Similars

Reports from the Centers for Disease Control in MMWR
    111.Human rabies--Texas and New Jersey, 1997.
  MMWR Morb Mortal Wkly Rep 1998 Jan 16;47(1):1-5.  Pubmed+Abstract  Similars
    112.Human rabies--Montana and Washington, 1997.
  MMWR Morb Mortal Wkly Rep 1997 Aug 22;46(33):770-4.  Pubmed+Abstract  Similars
    113.Human Rabies--Florida, 1996.
  MMWR Morb Mortal Wkly Rep 1996 Aug 23;45(33):719-20, 727.  Pubmed+Abstract  Similars
    114.Human rabies--Connecticut, 1995.
  MMWR Morb Mortal Wkly Rep 1996 Mar 15;45(10):207-9.  Pubmed+Abstract  Similars
    115.Raccoon rabies epizootic--United States, 1993.
  MMWR Morb Mortal Wkly Rep 1994 Apr 22;43(15):269-73.  Pubmed+Abstract  Similars
    116.Human rabies--California, 1992 [published erratum appears in MMWR Morb Mortal Wkly Rep 1992 Jul 17;41(28):518].
  MMWR Morb Mortal Wkly Rep 1992 Jul 3;41(26):461-3.  Pubmed+Abstract  Similars
    117.Human rabies--Texas, Arkansas, and Georgia, 1991.
  MMWR Morb Mortal Wkly Rep 1991 Nov 8;40(44):765-9.  Pubmed+Abstract  Similars
    118.Human rabies--California, 1987.
  MMWR Morb Mortal Wkly Rep 1988 May 20;37(19):305-8.  Pubmed  Similars
    119.Human rabies--Pennsylvania.
  MMWR Morb Mortal Wkly Rep 1984 Nov 16;33(45):633-5.  Pubmed  Similars
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