Abstract Details

Title An unusual case of feline-transmitted Rabies: A Diagnostic and Preventative Approach.

Topic Infectious Disease

Presentation(s) P4 - Poster Session 4 (5:30 PM-6:30 PM)

Poster/Presentation
Number 4-020

Objective N/A

Background

Rabies is a viral infectious disease that affects the central nervous system. Single-stranded RNA species of the Lyssavirus genus can be transmitted in secretions from infected animals, typically through a bite, and cause clinical disease in humans followed by a variable incubation period. We present a case of Rabies transmitted through feline exposure in a southern region of Colombia, portraying the spectrum of clinical features associated with this condition, as well as relevant preventative considerations.

Design/Methods Case Study - 2 year-old female with no previous medical history presented at a public urban hospital in southern Colombia with a subacute history of mental status change, agitation and behavioral disturbances. The patient suffered an unusual course leading to death after several weeks of inconclusive diagnostic workup and supportive care. A post-mortem diagnosis of Rabies encephalitis was confirmed on autopsy. A Grade I bite wound from a stray cat 5 months prior to presentation was reported retrospectively.

Results Human Rabies encephalitis is a consequence of the prevalence of animal infection and the extent of their contact with humans. The role of unvaccinated domestic animals as viral reservoirs is important in developing countries; Animal control and Public Health strategies are therefore critical for preventing human infection. Outcomes associated with Rabies are invariably fatal unless post-exposure prophylaxis (PEP) is promptly administered. Normal children behavior resulting in willingness to approach a potentially rabid animal and other factors such as education and cultural misbeliefs may affect appropriate healthcare seeking.

Conclusions Stray cats present a potential public health risk and children are especially vulnerable. Local studies evaluating the impact of cat bites on human health as well as the potential of feral cats to wander into areas frequented by children are lacking. We emphasize on the importance of developing and implementing effective prevention measures to diminish its impact on human health.

Authors/Disclosures
Freddy Escobar-Montealegre PRESENTER	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file

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