Symptoms of Rabies After a Dog Bite
According to the World Health Organization, nearly 55,000 people die from rabies infections every year. Most of those deaths occur in Asia and Africa, though rabies infections have been reported in 155 countries and on every continent except Antarctica. The WHO also reports that millions of people each year receive vaccinations after dog bites, preventing hundreds of thousands more deaths. Most rabies infections worldwide result from dog bites. The symptoms of rabies are distinctive and can arise within days or weeks of being bitten.
Initial Symptoms
Regardless of the form of rabies that eventually develops, the initial symptoms of infection are the same. These include:
- fever
- fatigue
- headache
- increasing pain at the site of the bite
- or unexplained tingling
- prickling
- burning at the site of the bite
From here, the virus responsible for rabies spreads through the central nervous system and gives rise to one of two forms of the disease: furious or paralytic rabies.
Furious Rabies
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Furious rabies is the more common form of rabies infection 2. Symptoms that arise from furious rabies include:
- hyperactivity
- hallucinations
- insomnia
- thirst
- trouble swallowing,
- even panic when presented with something to drink
Within a few days, death results when the heart and lungs shut down.
Paralytic Rabies
According to the WHO, paralytic rabies accounts for about 30 percent of all rabies infections in humans 2. Equally fatal, the paralytic form of rabies takes longer to develop. Muscles become paralyzed first at the site of the bite and paralysis then progresses throughout the body. Finally, the victim falls into a coma and eventually dies.
- According to the WHO, paralytic rabies accounts for about 30 percent of all rabies infections in humans 2.
- Equally fatal, the paralytic form of rabies takes longer to develop.
Once Symptoms Arise
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The Centers for Disease Control warns that once clinical signs of rabies appear, the infection is almost always fatal. If the animal is unavailable for testing or is found to be positive for rabies, the bite victim should undergo immediate vaccination to prevent the development of the disease. The WHO emphasizes that no diagnostic test exists that can detect rabies in a bite victim before symptoms develop.
- The Centers for Disease Control warns that once clinical signs of rabies appear, the infection is almost always fatal.
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References
- Clinical Infectious Diseases: Management of Rabies in Humans
- WHO: Human and Dog Rabies Prevention and Control
- Centers for Disease Control and Prevention. Human Rabies. Updated June 11, 2019.
- Pieracci EG, Pearson CM, Wallace RM, et al. Vital Signs: Trends in Human Rabies Deaths and Exposures - United States, 1938-2018. MMWR Morb Mortal Wkly Rep. 2019;68(23):524-528. doi:10.15585/mmwr.mm6823e1
- Ma X, Monroe BP, Cleaton JM, et al. Rabies surveillance in the United States during 2016. J Am Vet Med Assoc. 2018;252(8):945-957. doi:10.2460/javma.252.8.945
- Igreja RP. Infectious Diseases Associated with Caves. Wilderness Environ Med. 2011;22(2):115-121. doi:10.1016/j.wem.2011.02.012
- World Health Organization. Rabies. 2019.
- Zhang J, Lin J, Tian Y, et al. Transmission of rabies through solid organ transplantation: a notable problem in China. BMC Infect Dis. 2018;18(1):273. doi:10.1186/s12879-018-3112-y
- Rupprecht C, Kuzmin I, Meslin F. “Lyssaviruses and rabies: current conundrums, concerns, contradictions and controversies.” F1000Res. 2017 Feb 23;6:184.
- The Humane Society of the United States. “How to Avoid a Dog Bite.” Last accessed April 2018.
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Writer Bio
Jen Palombi is an optometrist and writer based in Ohio. She has been writing and teaching in the field of health science for more than 15 years, with work featured in numerous consumer and professional publications. Palombi frequently serves as a speaker and industry consultant on health topics nationwide. She is a fellow of the American Academy of Optometry.