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| + | ==Virulence and Pathogenesis== |
| + | *Rabies is moderately resistant: it can survive well in dark places at low temperatures for several days |
| + | *Infection occurs through a '''penetrating bite''' in which virus is transmitted via '''saliva''' |
| + | *'''Incubation''' period is variable but can be long (10 days to 12 months), and increases with distance of the bite to the CNS |
| + | **80% show signs within 4 months |
| + | *Primary replication of the virus occurs in the '''muscle''' |
| + | *The virus gains access to nervous tissue and travels toward the '''brain''', where it continues to replicate |
| + | *It then migrates down cranial nerves to infect salivary glands and the cornea |
| + | *Virus is shed in '''saliva''' and '''tears''' and can be shed BEFORE the onset of classical signs |
| + | *The onset of clinical signs in dogs and cats includes: |
| + | **Behavioral changes |
| + | **Pyrexia |
| + | **Salivation |
| + | **Dilation of pupils |
| + | *Two forms of the virus exist: |
| + | **'''Furious''' form: |
| + | ***Common to cats and dogs |
| + | ***Abnormal aggression, salivation, and attack without provocation |
| + | ***Disordered wandering, "copulatory" movements. |
| + | ***Incoordination, convulsions, coma and death within 3-10 days |
| + | **'''Dumb''' form |
| + | ***May or may not follow Furious form |
| + | ***Common to ruminants and horses |
| + | ***Ruminal tympany, tenesmus, diarrhoea |
| + | ***Paralysis of lower jaw, drooling saliva, tremors and progressive paralysis |
| + | ***In dogs, a change in voice may be observed (bellowing) |
| + | *Human infection is characterized by '''hydrophobia''' |
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− | =Epidemiology= | + | ==Epidemiology== |
| *Rabies is a '''NOTIFIABLE''' zoonosis | | *Rabies is a '''NOTIFIABLE''' zoonosis |
| *Rabies is found worldwide, though currently considered exotic to the UK and Australia | | *Rabies is found worldwide, though currently considered exotic to the UK and Australia |
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| *Immune recovered animals are rare, but are not shown to be infections | | *Immune recovered animals are rare, but are not shown to be infections |
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− | =Diagnosis= | + | ==Diagnosis== |
| *'''Isolate''' and monitor for clinical signs | | *'''Isolate''' and monitor for clinical signs |
| *In the field: | | *In the field: |
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| **RT-PCR on brain or saliva can be performed to determine genotype | | **RT-PCR on brain or saliva can be performed to determine genotype |
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− | =Rabies Control= | + | ==Rabies Control== |
| For countries where rabies is considered exotic: | | For countries where rabies is considered exotic: |
| *6 month quarantine of carnivores and ruminants (Norway, Sweden, Portugal, Australia, New Zealand) | | *6 month quarantine of carnivores and ruminants (Norway, Sweden, Portugal, Australia, New Zealand) |