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疑似麻痹性狂犬病犬:有限资源环境下的临床诊断前意义。

Probable paralytic rabies in a dog: ante-mortem clinical diagnosis implications in limited resource settings.

机构信息

Veterinary Clinical Complex, Veterinary College and Research Institute, Tamil Nadu Veterinary and Animal Sciences University (TANUVAS), Udumalpet, Tiruppur, Tamil Nadu, India - 642 205.

Department of Veterinary Pathology, Veterinary College and Research Institute, Tamil Nadu Veterinary and Animal Sciences University (TANUVAS), Veerapandi, Theni, Tamil Nadu, India - 625 534.

出版信息

J Infect Dev Ctries. 2024 Jul 29;18(7):1148-1151. doi: 10.3855/jidc.19158.

DOI:10.3855/jidc.19158
PMID:39078786
Abstract

INTRODUCTION

Rabies is a dreadful zoonotic viral disease that affects animals and humans with a fatality rate of 100%. This report aims to create awareness among the veterinarians and general public about the paralytic form of rabies in order to understand the antemortem clinical diagnosis implications in limited resource settings, so as to follow the post-exposure prophylaxis at the golden hour period of rabies transmission.

CASE PRESENTATION

A one-year-old female dog was presented to the Ambulatory Clinic Unit, Veterinary Clinical Complex, Veterinary College and Research Institute, Theni, Tamil Nadu, India with the ailment of a dropped jaw and was unable to swallow food and water for the past three days. Epidemiological investigations revealed that the animal had dog-bitten wounds from a week ago. On clinical examination, facial distortion, changes in the vocal cord, and paralysis of the throat muscle were noticed. Based on the anamnesis, clinical, and epidemiological investigations, the animal was diagnosed to be a probable case of paralytic form of canine rabies. In the limited resource settings, antemortem clinical diagnosis was practiced to suspect rabies-infected dogs. Further, the owner was advised to implement preventive measures to safeguard against rabies infection. The dog was kept under isolation and succumbed on day two with evidence of progressive paralytic signs.

CONCLUSIONS

This report emphasizes the importance of paralytic rabies, alongside of furious form of rabies, further creating awareness among the general public about the antemortem clinical diagnosis under limited resource settings.

摘要

简介

狂犬病是一种可怕的动物源性病毒性疾病,对动物和人类具有 100%的致死率。本报告旨在提高兽医和公众对狂犬病麻痹型的认识,以便了解在资源有限的情况下,狂犬病发病前的临床诊断意义,从而在狂犬病传播的黄金时间内遵循暴露后预防措施。

病例介绍

一只一岁的雌性犬因下颌下垂和无法吞咽食物和水,在过去三天中来到印度泰米尔纳德邦蒂尼兽医临床综合大楼兽医学院和研究所的门诊诊所就诊。流行病学调查显示,该动物在一周前有被狗咬伤的伤口。临床检查发现面部变形、声带变化和喉部肌肉瘫痪。根据病史、临床和流行病学调查,该动物被诊断为疑似麻痹型犬狂犬病。在资源有限的情况下,对狂犬病感染的犬进行了发病前的临床诊断。此外,建议主人采取预防措施以防止狂犬病感染。该犬被隔离,两天后出现进行性瘫痪迹象,最终死亡。

结论

本报告强调了麻痹型狂犬病的重要性,与狂躁型狂犬病并列,进一步提高了公众对资源有限情况下狂犬病发病前临床诊断的认识。

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