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The Nervous System  
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© 2011 Nucleus Medical Media, Inc.

Definition  

Rabies is an infection that affects the brain and spine. Rabies is almost always fatal unless treated before symptoms appear.

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Causes  

Rabies is caused by a virus. It is found in infected, warm-blooded animals. Animals that commonly carry the virus include:

  • Bats
  • Raccoons
  • Skunks
  • Foxes
  • Coyotes

The virus is in the saliva, brain, or nerve tissue of infected animals. Humans most often contract rabies through a bite or scratch from an infected animal. The virus may also be passed if infected tissue comes into contact with skin in the eyes, nose, or mouth.

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Risk Factors  

The only risk factor is contact with an infected animal.

In most parts of the US any contact with a bat may be considered a rabies risk factor. Seek medical advice if you find a bat anywhere inside your home.

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Symptoms  

Symptoms often start within 3-7 weeks. In some cases, the virus can incubate up to one or more years. Death usually occurs within a week after symptoms appear.

Symptoms in humans may include:

  • Pain, tingling, or itching at the site of the bite wound or other site of viral entry
  • Stiff muscles
  • Increased production of thick saliva
  • Flu-like symptoms, such as headache, fever, fatigue, nausea
  • Painful spasms and contractions of the throat when exposed to water
  • Erratic, excited, or bizarre behavior
  • Paralysis

Symptoms in animals may include:

  • Erratic behavior, often overly aggressive or vicious
  • Disorientation (for example, nocturnal animal such as a bat or fox appearing in daylight)
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Diagnosis  

If you think you have been exposed to rabies, see a doctor or contact a public health official immediately.

If the animal is available and appears well, it will be kept under observation to monitor i