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− | {{unfinished}}
| + | #REDIRECT[[:Category:Rhabdoviridae]] |
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− | {{toplink
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− | |linkpage =Viruses
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− | |linktext =VIRUSES
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− | |pagetype=Bugs
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− | }}
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− | <br>
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− | =Introduction=
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− | Rabies is a neurological killer that has evolved a fool-proof technique of transmission, and it cleverly evades the species barrier to present a potent threat to mammalian life. While the simplicity of the virus insures its transmission, it also contributes to its weakness: its monoclonal antigenicity means that a single vaccination covers all strains of the disease. Though rabies is considered endemic in parts of the developed and undeveloped world, vaccination schemes have rendered the disease controllable to a satisfactory degree. Nonetheless, infection is still largely fatal and the disease should not be taken lightly.
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− | =Morphology=
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− | *Large, enveloped, negative-sense RNA virus
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− | *'''Bullet-shaped''' with short glycoprotein spikes
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− | =Types and Subtypes=
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− | Two Genera:
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− | #Lyssaviruses: 7 genotypes
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− | ##'''Genotype 1''' is '''classical rabies'''
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− | ##Genotypes 2-7 more limited in distribution
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− | ##Genotype 4 infects '''insectivorous bats'''
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− | #Vesiculoviruses are all '''exotic''' to the UK:
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− | ##Vesicular Stomatitis Virus
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− | ##Ephemeral Fever
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− | ##Fish Rhabdoviruses, such as viral hemorrhagic syndrome and infectious haematopoetic necrosis virus | |
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− | =Virulence and Pathogenesis=
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− | *Rabies is moderately resistant: it can survive well in dark places at low temperatures for several days
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− | *Infection occurs through a '''penetrating bite''' in which virus is transmitted via '''saliva'''
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− | *'''Incubation''' period is variable but can be long (10 days to 12 months), and increases with distance of the bite to the CNS
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− | **80% show signs within 4 months
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− | *Primary replication of the virus occurs in the '''muscle'''
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− | *The virus gains access to nervous tissue and travels toward the '''brain''', where it continues to replicate
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− | *It then migrates down cranial nerves to infect salivary glands and the cornea
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− | *Virus is shed in '''saliva''' and '''tears''' and can be shed BEFORE the onset of classical signs
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− | *The onset of clinical signs in dogs and cats includes:
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− | **Behavioral changes
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− | **Pyrexia
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− | **Salivation
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− | **Dilation of pupils
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− | *Two forms of the virus exist:
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− | **'''Furious''' form:
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− | ***Common to cats and dogs
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− | ***Abnormal aggression, salivation, and attack without provocation
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− | ***Disordered wandering
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− | ***Incoordination, convulsions, coma and death within 3-10 days
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− | **'''Dumb''' form
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− | ***May or may not follow Furious form
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− | ***Common to ruminants and horses
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− | ***Ruminal tympany, tenesmus, diarrhoea
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− | ***Paralysis of lower jaw, drooling saliva, tremors and progressive paralysis
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− | ***In dogs, a change in voice may be observed (bellowing)
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− | *Human infection is characterized by '''hydrophobia'''
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− | =Epidemiology=
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− | *Rabies is a '''NOTIFIABLE''' zoonosis
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− | *Rabies is found worldwide, though currently considered exotic to the UK and Australia
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− | Host Range:
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− | *All mammals are susceptible
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− | **Very susceptible: foxes, jackals, wolves
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− | **Susceptible (10,000x virus necessary to infect): cats, rodents, bats, skunks, cattle, mongooses
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− | **Moderately susceptible (100,000x virus necessary to infect): dogs, sheep, goats, horses, primates
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− | *Isolates can show to some species specificity in their reservoir host
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− | Reservoir species by region:
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− | {| style="width:60%; height:200px" border="1" align=center
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− | !'''Region'''
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− | !'''Reservoir Species'''
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− | |-
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− | |Europe
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− | |Red fox
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− | |-
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− | |Russia, Turkey, Middle East
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− | |Dog, Raccoon
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− | |-
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− | |USA
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− | |Raccoon, Fox, Skunk
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− | |-
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− | |Africa
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− | |Dog, Jackal, Mongoose
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− | |-
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− | |Asia
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− | |Dog, Mongoose
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− | |-
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− | |South America
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− | |Dog, Vampire bat
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− | |-
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− | |Worldwide
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− | |Insectivorous Bats
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− | |}
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− | *The current position of DEFRA holds bat lyssaviruses to be present in the UK
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− | *Human infection and death an occur after infection with bat rabies
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− | **Nocturnal bat bites account for 50% of human cases in the USA
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− | *Humans develop disease but excrete little virus
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− | *Immune recovered animals are rare, but are not shown to be infections
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− | =Diagnosis=
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− | =Rabies Control=
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− | *Antigenicity allows a single antigenic type to vaccinate
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