Can Rabies Be Transmitted Through Feces? the Risks - Family Medicine

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Rabies is not transmitted through feces?


Hello doctor, I have a wound on my toe (the kind that stings when I apply alcohol or iodine).
Today, I accidentally kicked a slipper that was contaminated with feces while walking barefoot.
I'm not sure how many days the feces had been on the slipper.
I have obsessive-compulsive disorder and I'm worried about whether this could lead to a rabies infection through the wound.
Could you please tell me if rabies can be transmitted through feces? Thank you.

Andy, 20~29 year old female. Ask Date: 2021/05/16

Dr. Liao Yaopan reply Family Medicine


Hello, the situation mentioned in the text is not related to the transmission routes of rabies.
For more information, you can refer to the CDC's explanation at https://www.cdc.gov.tw/Category/Page/iHUOIaLSAbQowJjnNGH2uQ.
Online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2021/05/16

More Info


Rabies is a viral disease that primarily affects mammals, particularly bats, dogs, and other wild animals. The rabies virus is typically transmitted through the saliva of an infected animal, most commonly via bites or scratches that break the skin. The concern you have regarding the potential transmission of rabies through feces is understandable, especially given your anxiety about the wound on your toe.

To address your question directly: Rabies is not transmitted through feces. The rabies virus does not survive well outside of a host and is not present in fecal matter. The primary mode of transmission is through direct contact with the saliva of an infected animal, which can occur through bites, scratches, or open wounds that come into contact with saliva.
In your case, even if you accidentally kicked a slipper that had feces on it, the risk of rabies transmission through that route is virtually nonexistent. The virus does not live long outside of a host, and it is not excreted in feces. Therefore, unless there was direct contact with the saliva of a rabid animal through a bite or scratch, the likelihood of contracting rabies in this scenario is extremely low.

It's also important to note that rabies has a very specific transmission pathway. The virus must enter the body through a break in the skin or mucous membranes. If your toe wound was not in contact with saliva from a rabid animal, then there is no risk of rabies infection.
However, it is crucial to keep your wound clean and properly cared for to prevent other types of infections, especially if it is painful or shows signs of infection (such as redness, swelling, or pus). If you have concerns about the wound or if it worsens, it is advisable to seek medical attention.

In summary, while your concern about rabies is valid, especially given the serious nature of the disease, the transmission of rabies through feces is not a recognized risk. The best course of action is to maintain good hygiene for your wound and consult a healthcare provider if you have any further concerns or if the wound does not heal properly. Remember that rabies is preventable through vaccination, so if you ever have a potential exposure to a rabid animal, seeking medical advice promptly is essential.

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