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Pathology 2 - Second Year BHMS

Contents

Pathology 2 - Second Year BHMS

Contents

CoursesBHMSPathology 2 - Second Year BHMSRHABDOVIRUS – RABIES VIRUS

RHABDOVIRUS – RABIES VIRUS

Content

Rabies Virus

Q1: What is Rabies virus?

  • Rabies virus is a lyssavirus that belongs to the family Rhabdoviridae
  • It causes rabies in mammals

Q2: Morphology of Rabies virus

  • Bullet-shaped virus with a narrow tail
  • Size: 75–80 nm length and 75–100 nm width
  • Single-stranded RNA genome
  • Lipid envelope present
  • Helical nucleocapsid

Q3: Mode of transmission of Rabies

  • Through saliva of infected animals usually via bite
  • Through contact with infected nervous tissue such as scratch or lick
  • Rarely through organ transplantation
  • Rare laboratory exposure cases
  • Direct contact with saliva through bites or scratches

Q4: Pathogenicity of Rabies

  • Virus enters through bite wound
  • Travels along peripheral nerves to CNS
  • Replicates inside CNS causing inflammation and tissue damage
  • Spreads to other organs including salivary glands
  • Causes paralysis, neurological symptoms, and death Word trick: VIRUS → INFLAME → DAMAGE → DIE

Q5: Clinical stages of Rabies

  • Incubation period 2–12 weeks or up to several years
  • Prodromal phase with fever, headache, fatigue
  • Furious rabies with agitation, aggression, hydrophobia
  • Paralytic rabies with flaccid paralysis and weakness
  • Terminal phase with coma and death

Q6: Symptoms of Incubation period

  • No symptoms

Q7: Symptoms of Prodromal phase

  • Fever, headache, fatigue
  • Numbness or tingling at bite site
  • Anxiety or agitation

Q8: Symptoms of Furious rabies

  • Aggressive behavior
  • Confusion and disorientation
  • Hydrophobia
  • Muscle paralysis

Q9: Symptoms of Paralytic rabies

  • Flaccid paralysis
  • Loss of coordination and balance
  • Loss of sensation in face and limbs

Q10: Laboratory diagnosis of human rabies

  • Detection of viral RNA in saliva, CSF, or brain tissue by PCR or RT-PCR
  • Immunofluorescence test for viral antigens
  • ELISA for viral antibodies
  • Virus isolation from tissue samples
  • Histopathology of brain for inflammation and viral replication
  • Immunohistochemical staining for viral antigens Memory trick: V S R P R V – Virus isolation S – Serology R – PCR P – RT-PCR R – RNA detection

Q11: Life cycle of Rabies virus

  • Attachment to host cell via glycoprotein
  • Penetration by membrane fusion
  • Uncoating of viral genome
  • Replication of RNA and synthesis of proteins
  • Assembly of new viral particles
  • Release from host cell Memory trick: Aunt Betty's Poodles Run Amok, Poisoning Rabbits, Vicious Animals, People, and Others Simplified: VIRUS → WOUND → CNS → DEATH

Q12: Complications of Rabies

  • Respiratory failure
  • Cardiac arrest
  • Seizures
  • Coma
  • Death

Q13: Management of Rabies

  • Post-exposure prophylaxis with vaccine and rabies immunoglobulin
  • Supportive symptomatic care
  • Antiviral therapy in rare cases
  • Intensive monitoring of neurological symptoms

Q14: Prevention of Rabies

  • Vaccination of animals
  • Avoiding contact with wild animals
  • Wearing protective gear when handling animals
  • Seeking medical help immediately after a bite or scratch