Regarding rabies exposure?
Recently, I went to Shuo Creek in Taitung and discovered an animal carcass submerged in the water (the body was already skeletal but still had some soft tissue).
Out of curiosity, I touched the carcass, and since I have a habit of biting my lips, I only realized afterward the potential risk of rabies.
I would like to ask a doctor if there is a risk of infection if I touched an animal carcass and then touched my own wound?
Chen Mou, 20~29 year old female. Ask Date: 2022/07/01
Dr. Xiao Yongxun reply Family Medicine
Dear Mr.
Chen:
1.
According to the announcement from the Centers for Disease Control on May 3, 2019, exposure to wild mammals (such as badgers, civets, Taitung money mice, bats, etc.) with an exposure level of Category II (inclusive) or higher requires immediate medical attention and vaccination.
Category II (inclusive) refers to minor bites that break the skin, non-bleeding scratches or abrasions, which are classified as Category II.
Single or multiple bites or scratches that penetrate the dermis, licking of broken skin by the animal, or contamination of mucous membranes with animal saliva are classified as Category III.
This includes bites or scratches from bats or contact of wounds or mucous membranes with their saliva or other secretions.
2.
Please clarify which type of wild animal was involved; if the wild animal has been sent to an animal testing facility, please check for rabies infection.
It is recommended that you seek medical attention at a surgical outpatient clinic in a regional hospital or higher.
Reply Date: 2022/07/01
More Info
Rabies is a viral disease that primarily spreads through the saliva of infected animals, most commonly through bites. The rabies virus can survive in the saliva of an infected animal and can be transmitted to humans through open wounds or mucous membranes. Your concern about potential rabies exposure after touching an animal carcass and then touching your lips is valid, especially given the high fatality rate associated with rabies once clinical symptoms appear.
When it comes to the risk of rabies from animal remains, several factors must be considered. First, the type of animal involved is crucial. Certain wild animals, such as bats, raccoons, skunks, and foxes, are known carriers of the rabies virus. If the carcass you encountered belonged to one of these species, the risk of rabies exposure increases significantly. However, if the animal was a domesticated species, such as a dog or cat, and it was not showing signs of illness, the risk may be lower.
The condition of the carcass also matters. You mentioned that the remains were partially decomposed. The rabies virus does not survive long outside a host, and environmental factors such as temperature and exposure to sunlight can further reduce its viability. However, if the carcass was fresh or had been recently deceased, there could be a higher risk of the virus being present.
In your case, the act of touching the carcass and then touching your lips, especially if you had an open wound or sore, could theoretically allow for the transmission of the virus if it were present. The Centers for Disease Control and Prevention (CDC) recommends that any potential exposure to rabies, including contact with animal remains, should be taken seriously. If you have any cuts or abrasions on your hands, the risk of the virus entering your body increases.
Given these considerations, it is advisable to take the following steps:
1. Seek Medical Attention: It is crucial to consult a healthcare professional as soon as possible. They can assess your risk based on the specific circumstances and advise on whether rabies post-exposure prophylaxis (PEP) is necessary.
2. Wound Care: Ensure that any wounds are properly cleaned and disinfected. If you have not already done so, wash the area thoroughly with soap and water, and apply an antiseptic.
3. Vaccination History: If you have previously been vaccinated against rabies, this may provide some level of protection, but it is not a substitute for seeking medical advice after potential exposure.
4. Observation of the Animal: If possible, try to determine the species of the animal and whether it was showing any signs of illness prior to its death. This information can be helpful for your healthcare provider in assessing your risk.
5. Follow-Up: If rabies vaccination is recommended, it typically involves a series of shots that must be administered promptly after exposure.
In summary, while the risk of rabies from touching an animal carcass and then your lips is not negligible, it is essential to evaluate the specific circumstances surrounding the exposure. Prompt medical consultation is the best course of action to ensure your safety and health. Rabies is a preventable disease, and timely intervention is key to preventing its potentially fatal consequences.
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