Rabies
Rabies (lyssa) · Vzteklina
What it is
Travels up nerves to the brain; essentially 100% fatal once symptoms start, and 100% preventable before.
Symptoms & signs
- Bite history
- tingling at the wound
- fever
- hydrophobia
- agitation
- paralysis
- coma
🚩 Get help if…
- call 112 / 911 now Any bite or scratch from a bat, dog or wild animal abroad — wash, then go now
- call 112 / 911 now Bat in the room where someone slept
- call 112 / 911 now Fear of water, spasms of the throat, or agitation after a bite
- see a doctor soon Tingling or pain at an old bite site
Where it strikes
- Brain
- Nervous system
- Spinal cord
Medical treatment
- Immediate wound washing 15 min
- post-exposure vaccine plus immunoglobulin
- pre-exposure vaccination for travellers and vets
Natural & lifestyle
- Avoid stray animals
- vaccinate dogs
- wash any bite immediately and seek care the same day
Emerging & experimental
- Monoclonal antibody replacements for immunoglobulin
- Milwaukee protocol (rarely successful)
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Traditional wound remedies (chilli, herbs, burning) — useless; wash with soap for 15 minutes and get vaccinated today anecdotal / traditional
- Waiting to see whether the animal falls ill — only for a dog, cat or ferret observed for 10 days; where rabies is common, start vaccination meanwhile anecdotal / traditional
ICD codes
- ICD-10 A82.9
- ICD-11 1C82 Rabies