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Rabies, Pediatric

Sergio E. Recuenco, MD, MPH, DrPH Reviewed 10/2018
 


BASICS

DESCRIPTION

Fatal acute viral encephalomyelitis transmitted from animals to humans through bites or exposure to saliva or nervous tissue from a rabid animal. Only mammals are able to contract an...

DIAGNOSIS

HISTORY

  • Behavior of animal:

    • Although signs of rabies in animals vary greatly, atypical behavior for the animal is the norm (e.g., passive animals become aggressive, nocturnal animals roam in d...

TREATMENT

MEDICATION

  • Immunization: Both passive and active immunization should be initiated concurrently when an exposure is identified. Local or state health departments can advise about the risk of s...

ONGOING CARE

PROGNOSIS

  • After the patient CNS is infected with the rabies virus, prognosis is poor. There is no medical therapy available once the encephalitis onset, and after that, PEP is no longer in...

ADDITIONAL READING

  • Brown CM, Slavinski S, Ettestad P, et al; and National Association of State Public Health Veterinarians, Compendium of Animal Rabies Prevention and Control Committee. Compendium of ...

CODES

ICD9

  • 071 Rabies

  • V01.5 Contact with or exposure to rabies

  • V04.5 Need for prophylactic vaccination and inoculation against rabies

ICD10

  • A82.9 Rabies, unspecified

  • Z20.3 Contact with and (suspected) expos...

FAQ

  • Q: Does a wild squirrel or rabbit bite necessitate rabies prophylaxis?

  • A: In general, rodents (e.g., squirrels, rats, mice, hamsters, gerbils), lagomorphs (e.g., rabbits and hares), and marsupials ...

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