Severity: Warning
Message: fopen(/var/lib/php/sessions/ci_session3g78de4gotj3m0vjml2ea68lh48ve0fn): Failed to open stream: No space left on device
Filename: drivers/Session_files_driver.php
Line Number: 177
Backtrace:
File: /var/www/html/index.php
Line: 316
Function: require_once
Severity: Warning
Message: session_start(): Failed to read session data: user (path: /var/lib/php/sessions)
Filename: Session/Session.php
Line Number: 137
Backtrace:
File: /var/www/html/index.php
Line: 316
Function: require_once
Background: No human rabies post-exposure prophylaxis (PEP) failure has been documented in the United States using modern cell culture-based vaccines. In January 2021, an 84-year-old male died from rabies 6 months after being bitten by a rabid bat despite receiving timely rabies PEP. We investigated the cause of breakthrough infection.
Methods: We reviewed medical records, laboratory results, and autopsy findings and performed whole-genome sequencing (WGS) to compare patient and bat virus sequences. Storage, administration, and integrity of PEP biologics administered to the patient were assessed; samples from leftover rabies immunoglobulin were evaluated for potency. We conducted risk assessments for persons potentially exposed to the bat and for close patient contacts.
Results: Rabies virus antibodies present in serum and cerebrospinal fluid were nonneutralizing. Antemortem blood testing revealed that the patient had unrecognized monoclonal gammopathy of unknown significance. Autopsy findings showed rabies meningoencephalitis and metastatic prostatic adenocarcinoma. Rabies virus sequences from the patient and the offending bat were identical by WGS. No deviations were identified in potency, quality control, administration, or storage of administered PEP. Of 332 persons assessed for potential rabies exposure to the case patient, 3 (0.9%) warranted PEP.
Conclusions: This is the first reported failure of rabies PEP in the Western Hemisphere using a cell culture-based vaccine. Host-mediated primary vaccine failure attributed to previously unrecognized impaired immunity is the most likely explanation for this breakthrough infection. Clinicians should consider measuring rabies neutralizing antibody titers after completion of PEP if there is any suspicion for immunocompromise.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11097918 | PMC |
http://dx.doi.org/10.1093/cid/ciad098 | DOI Listing |
BMC Public Health
December 2024
College of Medicine and Health Sciences, Wollo University, P.O. Box 1145, Dessie, Ethiopia.
Background: Rabies is an important worldwide viral zoonotic disease with a high fatality rate and substantial socioeconomic losses. There is limited information about the community's knowledge, attitude and practice towards rabies disease in the study area. Therefore, this study was intended to assess knowledge, attitude, and practice (KAP) and associated factors towards rabies among the community in Welkait district, Northwest Ethiopia.
View Article and Find Full Text PDFRev Sci Tech
December 2024
A world free of dog-mediated human rabies by 2030 would be an outstanding achievement. This ambitious goal for a neglected tropical disease, set by the World Organisation for Animal Health (WOAH), the World Health Organization, the Food and Agriculture Organization of the United Nations and the Global Alliance for Rabies Control together with partners and countries, has a clear and achievable pathway to success. In the 100 years since the inception of WOAH, many scientific tools have been developed to support the elimination of dog-mediated rabies.
View Article and Find Full Text PDFRev Sci Tech
December 2024
Since its creation in 1924, the World Organisation for Animal Health (WOAH) has led animal rabies control efforts and is responsible for several of the most impactful advances in rabies diagnostics, surveillance and animal vaccination of the 20th and 21st centuries. Primarily advancing rabies control through its formalised country partnerships, WOAH is responsible for the validation and recognition of official rabies tests and has developed the largest rabies vaccine bank in use in Africa and Asia. WOAH has also fostered technical collaborations and provided modern-day guidance through the creation of the WOAH Rabies Reference Laboratory Network, also known as RABLAB.
View Article and Find Full Text PDFThe evolution of wildlife disease management and surveillance, as documented in the World Organisation for Animal Health's Scientific and Technical Review, reflects a deepening understanding of the links between wildlife health, ecosystem integrity and human well-being. Early work, beginning with the World Assembly of Delegates in 1954, primarily focused on diseases like rabies. This focus expanded over time to include broader concerns such as the impacts of climate change, habitat loss and increased human-wildlife interactions on wildlife health.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!