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Fatal human rabies caused by European bat Lyssavirus type 2a infection in Scotland.
Clin Infect Dis. 2003 Aug 15; 37(4):598-601.CI

Abstract

We wish to report the first recorded case of indigenous human rabies caused by a bat bite in the United Kingdom in 100 years. This instructive case report highlights a number of key lessons: first, bites from insectivorous bats indiginous to the United Kingdom can cause rabies in humans; second, rabies immunization is essential for bat-handlers, and postexposure treatment for rabies is essential for patients bitten by bats; third, patients able to give a history who present with acute flaccid paralysis and/or presumptive viral encephalitis should be asked if they have been bitten by bats, irrespective of travel history, or this history should be obtained from family or friends; fourth, antemortem diagnosis of bat rabies (EBLV type 2a infection) in humans is possible using RT-PCR.

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Authors+Show Affiliations

Nathwani D
Department of Infectious Diseases, Ninewells Hospital and Medical School, University of Dundee, Dundee, Scotland. dilip.nathwani@tuht.scot.nhs.uk
McIntyre PG
No affiliation info available
White K
No affiliation info available
Shearer AJ
No affiliation info available
Reynolds N
No affiliation info available
Walker D
No affiliation info available
Orange GV
No affiliation info available
Fooks AR
No affiliation info available

MeSH

AnimalsBites and StingsChiropteraFatal OutcomeHumansLyssavirusMaleMiddle AgedRabiesRhabdoviridae InfectionsScotland

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12905146

Citation

Nathwani, D, et al. "Fatal Human Rabies Caused By European Bat Lyssavirus Type 2a Infection in Scotland." Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, vol. 37, no. 4, 2003, pp. 598-601.
Nathwani D, McIntyre PG, White K, et al. Fatal human rabies caused by European bat Lyssavirus type 2a infection in Scotland. Clin Infect Dis. 2003;37(4):598-601.
Nathwani, D., McIntyre, P. G., White, K., Shearer, A. J., Reynolds, N., Walker, D., Orange, G. V., & Fooks, A. R. (2003). Fatal human rabies caused by European bat Lyssavirus type 2a infection in Scotland. Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, 37(4), 598-601.
Nathwani D, et al. Fatal Human Rabies Caused By European Bat Lyssavirus Type 2a Infection in Scotland. Clin Infect Dis. 2003 Aug 15;37(4):598-601. PubMed PMID: 12905146.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fatal human rabies caused by European bat Lyssavirus type 2a infection in Scotland. AU - Nathwani,D, AU - McIntyre,P G, AU - White,K, AU - Shearer,A J, AU - Reynolds,N, AU - Walker,D, AU - Orange,G V, AU - Fooks,A R, Y1 - 2003/07/31/ PY - 2003/02/19/received PY - 2003/03/31/accepted PY - 2003/8/9/pubmed PY - 2003/9/16/medline PY - 2003/8/9/entrez SP - 598 EP - 601 JF - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America JO - Clin Infect Dis VL - 37 IS - 4 N2 - We wish to report the first recorded case of indigenous human rabies caused by a bat bite in the United Kingdom in 100 years. This instructive case report highlights a number of key lessons: first, bites from insectivorous bats indiginous to the United Kingdom can cause rabies in humans; second, rabies immunization is essential for bat-handlers, and postexposure treatment for rabies is essential for patients bitten by bats; third, patients able to give a history who present with acute flaccid paralysis and/or presumptive viral encephalitis should be asked if they have been bitten by bats, irrespective of travel history, or this history should be obtained from family or friends; fourth, antemortem diagnosis of bat rabies (EBLV type 2a infection) in humans is possible using RT-PCR. SN - 1537-6591 UR - https://www.unboundmedicine.com/medline/citation/12905146/Fatal_human_rabies_caused_by_European_bat_Lyssavirus_type_2a_infection_in_Scotland_ L2 - https://academic.oup.com/cid/article-lookup/doi/10.1086/376641 DB - PRIME DP - Unbound Medicine ER -