Fatal Human Rabies Caused by European Bat Lyssavirus Type 2a Infection in Scotland | Zendy

Dilip Nathwani | Zendy; P. G. McIntyre | Zendy; Kathleen M. White | Zendy; A. J. Shearer | Zendy; Nick J. Reynolds | Zendy; David Walker | Zendy; G. Orange | Zendy; A. R. Fooks | Zendy

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Fatal Human Rabies Caused by European Bat Lyssavirus Type 2a Infection in Scotland

Author(s) -

Dilip Nathwani,

P. G. McIntyre,

Kathleen M. White,

A. J. Shearer,

Nick J. Reynolds,

David Walker,

G. Orange,

A. R. Fooks

Publication year - 2003

Publication title -

clinical infectious diseases

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.44

H-Index - 336

eISSN - 1537-6591

pISSN - 1058-4838

DOI - 10.1086/376641

Subject(s) - rabies , lyssavirus , medicine , virology , rabies virus , paralysis , flaccid paralysis , encephalitis , insectivore , immunization , immunology , rhabdoviridae , virus , biology , antibody , psychiatry , ecology , predation

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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