دورية أكاديمية
أعرض في EDS

Rabies outbreak in Brazil: first case series in children from an indigenous village.

التفاصيل البيبلوغرافية
العنوان: Rabies outbreak in Brazil: first case series in children from an indigenous village.
المؤلفون: Tolentino Júnior DS; Postgraduate Program in Technology, Environment and Society, Federal University of the Jequitinhonha e Mucuri Valleys, Teófilo Otoni, MG, Brazil. dilceujunior@bol.com.br., Marques MSV; Special Indigenous Health District of Minas Gerais and Espírito Santo, Ministry of Health, Governador Valadares, MG, Brazil., Krummenauer A; Brazil Field Epidemiology Training Program, Ministry of Health, Health and Environment Surveillance Secretariat, Brasília, DF, Brazil., Duarte MMS; Brazil Field Epidemiology Training Program, Ministry of Health, Health and Environment Surveillance Secretariat, Brasília, DF, Brazil., Rocha SM; Health Surveillance Secretariat, Ministry of Health, Brasília, DF, Brazil., de Brito MG; State Department of Health of Minas Gerais, Coordination of Zoonoses, Belo Horizonte, MG, Brazil., de Santana LF; State Department of Health of Minas Gerais, Coordination of Zoonoses, Belo Horizonte, MG, Brazil., de Oliveira RC; Postgraduate Program in Integrated Territory Management, Vale do Rio Doce University, Governador Valadares, MG, Brazil., de Assis EM; Federal Institute of Bahia, Eunápolis, BA, Brazil., de Sousa Cavalcante KK; Postgraduate Program in Public Health, Federal University of Ceará, Fortaleza, CE, Brazil., Alencar CH; Postgraduate Program in Public Health, Federal University of Ceará, Fortaleza, CE, Brazil.
المصدر: Infectious diseases of poverty [Infect Dis Poverty] 2023 Aug 24; Vol. 12 (1), pp. 78. Date of Electronic Publication: 2023 Aug 24.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101606645 Publication Model: Electronic Cited Medium: Internet ISSN: 2049-9957 (Electronic) Linking ISSN: 20499957 NLM ISO Abbreviation: Infect Dis Poverty Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, 2012-
مواضيع طبية MeSH: Rabies*/epidemiology , Chiroptera*, Humans ; Child ; Animals ; Brazil/epidemiology ; Disease Outbreaks ; Public Health
مستخلص: Background: Human rabies outbreak transmitted by bats continues to be a relevant public health problem not only in the Amazon region. The disease has affected one of the areas with the greatest poverty in southeastern Brazil, a region inhabited by the Maxakali indigenous people.
Case Presentation: We describe four cases of rabies among indigenous children that occurred in the indigenous village of Pradinho, municipality of Bertópolis, Minas Gerais, Brazil. Cases were notified between April and May 2022, all of whom died on average eight days after the first symptoms. All cases were observed in rural residents under 12 years of age. The probable form of exposure was through bat bites. The predominant symptoms were prostration, fever, dyspnea, sialorrhea, tachycardia, and altered level of consciousness. Half of the cases underwent late and/or incomplete post-exposure rabies prophylaxis, however, the other half underwent pre-exposure rabies prophylaxis, with only one case completing the scheme and another undergoing the adapted Milwaukee Protocol (Recife Protocol). All cases ended in death.
Conclusions: This was the first rabies outbreak among indigenous people in Brazil. Among the manifested clinical forms in the series, there was a disease atypical presentation in at least one case. We suggest active surveillance and an intercultural educational campaign to prevent new cases.
(© 2023. National Institute of Parasitic Diseases.)
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فهرسة مساهمة: Keywords: Brazil; Indigenous population; Low income; Outbreak; Rabies
تواريخ الأحداث: Date Created: 20230824 Date Completed: 20230828 Latest Revision: 20231119
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10464476
DOI: 10.1186/s40249-023-01130-y
PMID: 37620861
قاعدة البيانات: MEDLINE
الوصف
تدمد:2049-9957
DOI:10.1186/s40249-023-01130-y