Immunovirological correlates in human rabies treated with therapeutic coma

A 37-year-old woman was admitted to hospital and over the next 5 days developed a progressive encephalitis. Nuchal skin biopsy, analyzed using a Rabies TaqMan© PCR, demonstrated rabies virus RNA. She had a history in keeping with exposure to rabies whilst in South Africa, but had not received pre- o...

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Veröffentlicht in:Journal of medical virology 2010-07, Vol.82 (7), p.1255-1265
Hauptverfasser: Hunter, M, Johnson, N, Hedderwick, S, McCaughey, C, Lowry, K, McConville, J, Herron, B, McQuaid, S, Marston, D, Goddard, T, Harkess, G, Goharriz, H, Voller, K, Solomon, T, Willoughby, R.E, Fooks, A.R
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container_end_page 1265
container_issue 7
container_start_page 1255
container_title Journal of medical virology
container_volume 82
creator Hunter, M
Johnson, N
Hedderwick, S
McCaughey, C
Lowry, K
McConville, J
Herron, B
McQuaid, S
Marston, D
Goddard, T
Harkess, G
Goharriz, H
Voller, K
Solomon, T
Willoughby, R.E
Fooks, A.R
description A 37-year-old woman was admitted to hospital and over the next 5 days developed a progressive encephalitis. Nuchal skin biopsy, analyzed using a Rabies TaqMan© PCR, demonstrated rabies virus RNA. She had a history in keeping with exposure to rabies whilst in South Africa, but had not received pre- or post-exposure prophylaxis. She was treated with a therapeutic coma according to the "Milwaukee protocol," which failed to prevent the death of the patient. Rabies virus was isolated from CSF and saliva, and rabies antibody was demonstrated in serum (from day 11 onwards) and cerebrospinal fluid (day 13 onwards). She died on day-35 of hospitalization. Autopsy specimens demonstrated the presence of rabies antigen, viral RNA, and viable rabies virus in the central nervous system. J. Med. Virol. 82:1255-1265, 2010.
doi_str_mv 10.1002/jmv.21785
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Nuchal skin biopsy, analyzed using a Rabies TaqMan© PCR, demonstrated rabies virus RNA. She had a history in keeping with exposure to rabies whilst in South Africa, but had not received pre- or post-exposure prophylaxis. She was treated with a therapeutic coma according to the "Milwaukee protocol," which failed to prevent the death of the patient. Rabies virus was isolated from CSF and saliva, and rabies antibody was demonstrated in serum (from day 11 onwards) and cerebrospinal fluid (day 13 onwards). She died on day-35 of hospitalization. Autopsy specimens demonstrated the presence of rabies antigen, viral RNA, and viable rabies virus in the central nervous system. J. Med. 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Med. Virol</addtitle><description>A 37-year-old woman was admitted to hospital and over the next 5 days developed a progressive encephalitis. Nuchal skin biopsy, analyzed using a Rabies TaqMan© PCR, demonstrated rabies virus RNA. She had a history in keeping with exposure to rabies whilst in South Africa, but had not received pre- or post-exposure prophylaxis. She was treated with a therapeutic coma according to the "Milwaukee protocol," which failed to prevent the death of the patient. Rabies virus was isolated from CSF and saliva, and rabies antibody was demonstrated in serum (from day 11 onwards) and cerebrospinal fluid (day 13 onwards). She died on day-35 of hospitalization. Autopsy specimens demonstrated the presence of rabies antigen, viral RNA, and viable rabies virus in the central nervous system. J. Med. 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subjects Adult
Antibodies, Viral - blood
Antibodies, Viral - cerebrospinal fluid
Antigens, Viral - analysis
Biological and medical sciences
Convulsive Therapy
Fatal Outcome
Female
Fundamental and applied biological sciences. Psychology
human case
Human viral diseases
Humans
Infectious diseases
Medical sciences
Microbiology
Milwaukee protocol
Miscellaneous
Neutralization Tests
rabies
Rabies - blood
Rabies - diagnosis
Rabies - therapy
Rabies - virology
Rabies virus - genetics
Rabies virus - immunology
Rabies virus - isolation & purification
RNA, Viral - analysis
Saliva - virology
South Africa
therapeutic coma
Viral diseases
Virology
virus
title Immunovirological correlates in human rabies treated with therapeutic coma
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