MMWR Morb Mortal Wkly Rep. 2017 Jan 6;65(52):1474-1476. doi: 10.15585/mmwr.mm6552a4.
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).
2015 年 12 月 1 日，波多黎各卫生部（PRDH）接到当地一家医院的报告，称发现一起疑似人类狂犬病病例。前一天晚上，一名 54 岁的波多黎各男子因发热、吞咽困难、手部感觉异常、咳嗽和胸闷到急诊科就诊。次日上午，该患者不顾医嘱离开，但下午返回急诊科，症状恶化。患者的妻子报告说，他在 10 月的第一周被一只猫鼬咬伤，但未就医处理伤口。在被转往重症监护病房时，该患者发生心脏骤停并死亡。12 月 3 日，从尸检采集的标本中确认了狂犬病。PRDH 进行了初步快速风险评估，并对 5 名家庭成员开始进行狂犬病暴露后预防（PEP）。
