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Cape man has rabies; first human case in state in 75 years

Channel 4 reports he may have gotten it from one of the bats living in his house; he's in critical condition.

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ONE of the batS? Implying they are plural in his house? yikes. I wish him a speedy recovery.

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Unfortunately there is no recovery, rabies is 100% fatal if not treated before symptoms start. My 18 month old woke up with marks on his face and it was treated as spider bites. 3 weeks later we found a bat in the house so we went ahead with the shots just in case the 0.5% chance it was a bat bite was true. Scary stuff.

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99.9% chance. One person did survived. Jeanea Gises, the first and only known survivor (without vaccine) in the world. They tried the technique they used on her on other patients, so far it haven't worked beyond her to my knowledge. I wonder if they will try it with him.

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Six people have survived using what is known as the "Milwaukee Protocol" - [Scientific American / MedScape]

They put you in to a chemical coma and treat with antiviral drugs. This process succeeds in about 8% of the cases where it is initiated.

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I think the Medscape article which was quoted in Wikipedia is untrue. I don't think that 6 people have survived using the protocol mentioned.

From MMWR February 3, 2012 / 61(04);61-65. Recovery of a Patient from Clinical Rabies — California, 2011

Rabies is a neurotropic viral illness, most commonly transmitted to humans from the bite of an infected animal. Although rabies is preventable with PEP, no proven cure exists after the onset of symptoms . Even with advanced supportive care, the case-fatality rate approaches 100%. Consequently, management approaches generally focus on palliation . However, in 2004, an adolescent female treated with a novel protocol became the first person to survive documented clinical rabies without previous vaccination.In 2009, another unvaccinated adolescent female with a history of bat exposure, symptoms of encephalitis, and positive rabies virus serology recovered from a presumed abortive rabies infection after receiving only basic supportive care. The patient described in this report is the third unvaccinated person to recover from clinical rabies in the United States.

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... the average colony size in a residential dwelling is usually between 100 - 200 bats. in areas that are most bat-hospitable, the colony size can range into the thousands. i grew up in rural massachusetts, and our barns when i was a kid were determined to have a colony size of about 20 thousand.

all my best to the victim.

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In this part of North America, the most commonly found bat in human residences during the winter is the Big Brown Bat. Unlike their cousin species, the Little Brown Bat (which does like to overwinter in large numbers, but tends to choose non-residential sites like caves or barns), Big Brown Bats can often be found in small groups of just a few individuals. This is even more common in densely settled areas, where there are many possible roosting sites.

In the summer, BBB males will even roost on their own.

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