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Discharge of recovered rabies patient in Brazil (second one ever)

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Senior Moderator
http://www.promedmail.org/pls/otn/f..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,79301

Archive Number 20090919.3292
Published Date 19-SEP-2009
Subject PRO/AH/EDR> Rabies - Brazil (04): (PE), recovery


RABIES - BRAZIL (04): (PERNAMBUCO), RECOVERY
********************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Sat 19 Sep 2009
Source: China View [edited]
<http://news.xinhuanet.com/english/2009-09/19/content_12078716.htm>


The 1st Brazilian to be cured from rabies was discharged from a
hospital in Recife, in northeastern Pernambuco state, on Friday [18
Sep 2009]. Bitten by a bat while sleeping, the patient, a 16-year-old
boy, caught rabies in September 2008. He spent more than 100 days in
the intensive care unit since being hospitalized in October [2008].

According to the Oswaldo Cruz Hospital, because of the disease the
patient had difficulty in walking and speaking. He will continue
receiving treatment for this and hip surgery in 3 weeks.


The boy underwent experimental treatment, the so-called Milwaukee
protocol, which was developed in the United States [based on the
earlier Wisconsin protocol] in 2004. The treatment involves putting
the patient in a chemically-induced coma and using anti-viral
medicine, sedatives and anesthetics. So far, the Milwaukee protocol
has been used on [16] patients worldwide -- Silva was among the only 3
successful cases. The other 2 are U.S. girls aged 16 and 10.

Rabies is a highly deadly disease. One contracts rabies by being
bitten by animals such as dogs, cats, bats, foxes or cattle. The
disease affects the nervous system, causing symptoms like paralysis,
anxiety and hallucinations.

[Byline: Lin Zhi, editor]

--
Communicated by:
HealMap Alerts via
ProMED-mail <promed@promedmail.org>

[The details relating to this case and the original one in Wisconsin,
as well as the discussion it engendered concerning the efficacy of the
Wisconsin protocol -- on which the Milwaukee protocol is based -- in
survival of rabies patients, can be found in the ProMED archives
listed below.

A map of Brazil showing the location of Pernambuco state in the east
can be accessed at
<http://www.lib.utexas.edu/maps/americas/brazil.jpg>
A HealthMAP/ProMED interactive map of Brazil can be accessed at
<http://healthmap.org/promed/en?v=-10.8,-53.1,4>. - Mod.TY]

[see also:
Rabies - Brazil (03): (PE), recovery 20090214.0638
Rabies - Brazil (02): (GO) 20090129.0410
Rabies - Brazil: (GO) 20090128.0394
Rabies risk, bats, urban - Brazil: (RJ) 20090126.0341
2008
----
Rabies, human, bat - Brazil (03): Goias 20081224.4057
Rabies, human survival, bat - Brazil (02): (Pernambuco) 20081122.3689
Rabies, human survival, bat - Brazil: (Pernambuco) 20081114.3599
2004
----
Rabies, human, bat - USA (WI)(07): recovery 20041231.3459
Rabies, human, bat - USA (WI)(06): recovery 20041223.3390
Rabies, human, bat - USA (WI)(05): recovery 20041201.3213
Rabies, human, bat - USA (WI)(04): recovery 20041129.3194
Rabies, human, bat - USA (WI)(03): recovery 20041126.3163
Rabies, human, bat - USA (WI)(02): partial recovery 20041110.3040
Rabies, human, bat - USA (WI) 20041021.2853]
....................ty/ejp/jw
 
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