USA (Massachusetts): Rabies victim in critical condition

A Cape man diag­nosed with rabies the week of 26 Decem­ber 2011 is alive and fight­ing the deadly virus, accord­ing to health offi­cials. As of 3 Jan­u­ary 2012 morn­ing, the uniden­ti­fied Barn­sta­ble man, in his 60s, remained in crit­i­cal con­di­tion at a Boston hos­pi­tal, said Barn­sta­ble Health Direc­tor Thomas McKean.

The diag­no­sis con­firmed the first human case of rabies in Mass­a­chu­setts in more than 75 years. State health offi­cials also con­firmed on 3 Jan­u­ary 2012 that the man con­tracted the virus from a species of Myotis bat. The small, brown mam­mals are com­mon in Mass­a­chu­setts, said state Depart­ment of Health spokesman John Jacob. The man’s wife has been released from the hos­pi­tal fol­low­ing pre­cau­tion­ary vac­ci­na­tions and was stay­ing with friends, McK­ean said. The man was appar­ently bit­ten in the couple’s Barn­sta­ble home months before exhibit­ing symptoms.

The Barn­sta­ble man is the fourth con­firmed human infected by the rabies virus in the United States in 2011, accord­ing to sta­tis­tics from the Cen­ters for Dis­ease Con­trol in Atlanta. A rabies diag­no­sis is usu­ally con­sid­ered fatal; how­ever, a treat­ment devel­oped in the last decade has helped cure a hand­ful of patients. The “Mil­wau­kee pro­to­col” is a pio­neer­ing med­ical pro­ce­dure in which doc­tors sedate patients into a coma-like state to give them time to build anti­bod­ies to fight the virus. The pro­ce­dure was devel­oped by Dr. Rod­ney E. Willoughby, a pro­fes­sor of pedi­atrics at the Med­ical Col­lege of Wis­con­sin in Mil­wau­kee. It was first used suc­cess­fully in 2004 to save a Wis­con­sin teenager from the almost cer­tainly fatal virus. She was the first per­son to sur­vive infec­tion with­out prior immu­niza­tion, and since then, five more have also been saved.

The full arti­cle may be accessed at http://www.promedmail.org/direct.php?id=20120106.1002196
(ProMED 1/6/2012)

 

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