Human Rabies - Puerto Rico, 2015. 2017

Ashley Styczynski, and Cuc Tran, and Emilio Dirlikov, and María Ramos Zapata, and Kyle Ryff, and Brett Petersen, and Anibal Cruz Sanchez, and Marrielle Mayshack, and Laura Castro Martinez, and Rene Condori, and James Ellison, and Lillian Orciari, and Pamela Yager, and Rafael González Peña, and Dario Sanabria, and Julio Cádiz Velázquez, and Dana Thomas, and Brenda Rivera García

On December 1, 2015, the Puerto Rico Department of Health (PRDH) was notified by a local hospital of a suspected human rabies case. The previous evening, a Puerto Rican man aged 54 years arrived at the emergency department with fever, difficulty swallowing, hand paresthesia, cough, and chest tightness. The next morning the patient left against medical advice but returned to the emergency department in the afternoon with worsening symptoms. The patient's wife reported that he had been bitten by a mongoose during the first week of October, but had not sought care for the bite. While being transferred to the intensive care unit, the patient went into cardiac arrest and died. On December 3, rabies was confirmed from specimens collected during autopsy. PRDH conducted an initial rapid risk assessment, and five family members were started on rabies postexposure prophylaxis (PEP).

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D008988 Herpestidae The family of agile, keen-sighted mongooses of Asia and Africa that feed on RODENTS and SNAKES. Crossarchus,Cusimanses,Dwarf Mongooses,Helogale,Herpestes,Liberian Mongoose,Liberiictis,Mongooses,Mungos,Dwarf Mongoose,Mongoose,Mongoose, Dwarf,Mongoose, Liberian,Mongooses, Dwarf
D011647 Puerto Rico An island in the Greater Antilles in the West Indies. Its capital is San Juan. It is a self-governing commonwealth in union with the United States. It was discovered by Columbus in 1493 but no colonization was attempted until 1508. It belonged to Spain until ceded to the United States in 1898. It became a commonwealth with autonomy in internal affairs in 1952. Columbus named the island San Juan for St. John's Day, the Monday he arrived, and the bay Puerto Rico, rich harbor. The island became Puerto Rico officially in 1932. (From Webster's New Geographical Dictionary, 1988, p987 & Room, Brewer's Dictionary of Names, 1992, p436)
D011818 Rabies Acute VIRAL CNS INFECTION affecting mammals, including humans. It is caused by RABIES VIRUS and usually spread by contamination with virus-laden saliva of bites inflicted by rabid animals. Important animal vectors include the dog, cat, bat, fox, raccoon, skunk, and wolf. Encephalitic Rabies,Furious Rabies,Hydrophobia,Paralytic Rabies,Lyssa,Furious Raby,Lyssas,Rabies, Encephalitic,Rabies, Furious,Raby, Furious
D011820 Rabies virus The type species of LYSSAVIRUS causing rabies in humans and other animals. Transmission is mostly by animal bites through saliva. The virus is neurotropic multiplying in neurons and myotubes of vertebrates. Rabies viruses
D001733 Bites and Stings Injuries inflicted by the TEETH or poisoning caused by VENOMS of animals. Stings,Bites,Stings and Bites,Bite,Sting
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D016358 Contact Tracing Identification of those persons (or animals) who have had such an association with an infected person, animal, or contaminated environment as to have had the opportunity to acquire the infection. Close Contact Epidemiology,Communicable Disease Contact Tracing,Contact Investigation,Contact Screening,Index Case Epidemiology,Index Patient Epidemiology,Infectious Disease Contact Tracing,Notification, Partner,PUI Epidemiology,Partner Notification,Patient Zero Epidemiology,Person Under Investigation Epidemiology,Epidemiology, Close Contact,Epidemiology, Index Case,Epidemiology, Index Patient,Epidemiology, PUI,Epidemiology, Patient Zero,Investigation, Contact,Partner Notifications,Screening, Contact,Tracing, Contact

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