BMJ Best Practice
最后审核时间: 七月 2019
最近更新时间: 七月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 恐水
  • 恐风
  • 肢体麻木、疼痛、感觉异常

其他诊断因素

  • 大小便失禁
  • 昏迷
  • 大小便失禁
  • 昏迷

危险因素

  • 最近被已知感染宿主抓伤或咬伤
  • 前往/居住于狂犬病流行国家
  • 职业或娱乐休闲暴露
  • 年龄 <15 岁

诊断性检查

首要检查

  • 唾液PCR检查和病毒培养
  • 皮肤活检(颈部)检测直接荧光抗体(DFA)和聚合酶链反应
  • 脑脊液细胞学
  • 脑脊液生化
全部具体信息

需要考虑的检查

  • 血清虫媒病毒抗体
  • 血清巴尔通氏体属抗体
  • 血清立克次氏体抗体
  • 头部 MRI
全部具体信息

治疗流程

贡献者

General Director

National Center for Public Health

National Health Institute

Lima

Peru

利益冲突披露
SR declares that he has no competing interests.

Professor

Pediatrics

Medical College of Wisconsin

Milwaukee

WI

利益冲突披露
The Medical College of Wisconsin receives funds for research grants related to rabies. RW provides advice to teams treating human rabies and is an author of a number of references cited in this monograph.

Dr Sergio Recuenco and Dr Rodney Willoughby would like to gratefully acknowledge Dr Kis Robertson, a previous contributor to this monograph. KR declares that she has no competing interests.

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Head

School of Public Health

Tropical Medicine and Rehabilitation Sciences

Faculty of Medicine

Health and Molecular Sciences

James Cook University

Townsville

Queensland

Australia

利益冲突披露
PL is a member of the Australian Travel Health Advisory Group that is supported by a grant from GlaxoSmithKline. PL has received travel grants from GlaxoSmithKline to attend travel medical conferences in the last 5 years.

Assistant Professor

Department of Family and Community Medicine

Dalla Lana School of Public Health

University of Toronto

Toronto

Ontario

Canada

利益冲突披露
AG declares that he has no competing interests.

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