RABIES (44): VIET NAM (BINH THUAN) HUMAN, BITE FROM NEIGHBOR'S DOG,FATAL
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Date: Tue 15 Apr 2025 09:39 ICT
Source: VN Express [in Vietnamese, machine trans., edited]
日付：2025年4月15日（火）09:39 インドシナ時間
https://vnexpress.net/them-mot-nguoi-chet-do-benh-dai-o-binh-thuan-4874090.html
A man has died 2 months after being bitten by a neighbor's dog, the 4th such death this year [2025] in the province.
ビントゥアン省では、隣人の飼い犬に咬まれた男性が2ヶ月後に死亡し、今年[2025年]4人目の死亡者となった。
On the morning of 15 Apr 2025, Dr. Vo Van Hanh, Director of the Binh Thuan Center for Disease Control, said that the person who had just died was a 57-year-old patient residing in Ham Liem commune, Ham Thuan Bac district.
2025年4月15日午前、ビントゥアン省疾病管理センターのヴォー・ヴァン・ハン所長は、死亡したのはハムトゥアンバック郡ハムリエムコミューンに住む57歳の患者であると発表した。
Two months ago, this person was walking on the street when a dog belonging to a family in the neighborhood jumped out and bit him on the right leg. The wound was moderately deep and bled, but the patient only washed it with cold water at home and did not get a rabies vaccine.
2ヶ月前、この患者は道を歩いていたところ、近所の家族の犬が飛び出してきて右足を咬まれた。傷は中程度の深さで出血したが、患者は自宅で冷水で洗っただけで、狂犬病ワクチンを接種しなかった。
On 9 Apr 2025, the male patient began to show signs of fatigue and sore throat. The next day [10 Apr 2025], his condition worsened with symptoms of extreme fatigue, difficulty breathing, fear of water, fear of wind, choking. The family called an ambulance to take him to Binh Thuan General Hospital for emergency care.
2025年4月9日、男性患者は疲労と咽頭痛の徴候を示し始めた。翌日（2025年4月10日）、極度の疲労、呼吸困難、水への恐怖、風への恐怖、息苦しさの症状が悪化した。家族は救急車を呼び、ビントゥアン総合病院へ緊急搬送した。
With clinical symptoms combined with medical history, he was diagnosed with rabies at the hospital. After the doctor explained the condition and prognosis, the family asked to take him home and the patient died at home on 11 Apr 2025.
臨床症状と病歴から、病院で狂犬病と診断された。医師が病状と予後を説明した後、家族は自宅に連れ帰ることを求め、患者は2025年4月11日に自宅で死亡した。
The dog that bit the patient has now been beaten to death. Three other people in the same area who were also bitten by the same animal have been vaccinated and given anti-rabies serum.
患者を咬んだ犬は撲殺された。同じ地域で同じ動物に咬まれた他の3人がワクチンを接種され、抗狂犬病血清を投与された。
This is a suspected rabies death in 2025. Previously, 2 people in Ham Thuan Bac district and one person in Tanh Linh district also died after being bitten by dogs and cats but did not get rabies vaccination.
これは2025年の狂犬病による死亡の疑いである。以前にも、ハムトゥアンバック郡で2人、タンリン郡で1人が犬や猫に咬まれた後、狂犬病の予防接種を受けずに死亡している。
There is currently no specific treatment for rabies, and 100% of people who develop the disease die. Vaccination is the only preventative measure.
現在、狂犬病の特効薬はなく、発症すると100％死亡する。ワクチン接種が唯一の予防策である。
In 2024, Binh Thuan was also a hot spot for rabies with 10 deaths.
2024年、ビントゥアンも狂犬病のホットスポットとなり、10人が死亡した。
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【訳省略、ここから】
["The incubation period of rabies is both prolonged and variable, depending on the exposure site and dose of viral inoculum. Exposure of highly innervated tissue is associated with a shorter incubation period for the development of CNS signs.
"Typically, rabies virus remains at the inoculation site for a considerable time. The unusual length of the incubation period helps to explain the effective action of local infiltration of rabies immune globulin during human post-exposure prophylaxis, even days after exposure.
"Most clinical cases of rabies in dogs develop within 21-80 days after exposure; however, the incubation period may be shorter or considerably longer. One recorded case of rabies in a person in the United States had an incubation period estimated reliably to be > 8 years"
(https://www.msdvetmanual.com/nervous-system/rabies/rabies-in-animals#Epidemiology_v83306256).
【訳省略、ここまで】
It is assumed that the incriminated dog had not exhibited any clinical symptoms until the damage was done; otherwise, it could have been euthanized earlier. The fact that the 3 other people bitten by the same dog only sought medical attention when the fatal case was known may suggest that they or their relatives are not fully aware of the urgency for preventive medical treatment after the bite. They still deserve praise and this practice must immediately follow the exposure. - Mod.ST
この犬は被害が出るまで臨床症状を示さなかったと推測されるが、そうでなければもっと早く安楽死させることができたはずである。同じ犬に咬まれた他の3人が、致命的な事例が判明してから医療機関を受診したという事実は、彼らやその親族が、咬まれた後の予防医療の緊急性を十分に認識していないことを示唆しているのかもしれない。それでも彼らは賞賛に値するし、このやり方は暴露の直後に行われなければならない。- 編集者注
ProMED map:
Vietnam: https://promedmail.org/promed-post?place=8723698,152]
[See Also:
Rabies (43): Viet Nam (BT) stray cat bite
http://promedmail.org/post/20250413.8723621
Rabies (42): Viet Nam (HO) stray dog bite
http://promedmail.org/post/20250410.8723545
Rabies (31): Viet Nam (DN) dog and cat vaccination campaign
http://promedmail.org/post/20250329.8723242
Rabies (12): Viet Nam (DN) pet dog bite, fatal
http://promedmail.org/post/20250215.8722174
Rabies (10): Viet Nam (DL) rabid dog bite
http://promedmail.org/post/20250212.8722083
Rabies (08): Viet Nam (GL)
http://promedmail.org/post/20250205.8721847
Rabies (03): Viet Nam (DL)
http://promedmail.org/post/20250114.8721335
2024
----
Rabies (104): Viet Nam (BV) dog meat restaurant owner, fatal
http://promedmail.org/post/20241223.8720864
Rabies (102): Viet Nam, national summary, Bangladesh (DH) dog bites,
human exp http://promedmail.org/post/20241214.8720661
Rabies (99): Viet Nam (NA) traditional medicine, fatal
http://promedmail.org/post/20241203.8720411
Rabies (95): Viet Nam (BV) cat scratch
http://promedmail.org/post/20241129.8720317
Rabies (88): Viet Nam (QM) schoolboy, fatal
http://promedmail.org/post/20241102.8719742
Rabies (76): Viet Nam (DN) pet dog bite
http://promedmail.org/post/20240908.8718644
Rabies (66): Viet Nam (HI) stray dog, spread
http://promedmail.org/post/20240815.8718176
Rabies (61): Viet Nam, national summary, increase
http://promedmail.org/post/20240801.8717879
Rabies (59): Viet Nam (GL) cat bite, fatal
http://promedmail.org/post/20240716.8717601
Rabies (57): Viet Nam (GL) long incubation period
http://promedmail.org/post/20240705.8717391
Rabies (54): Viet Nam (TQ, HO) increase, fatal
http://promedmail.org/post/20240620.8717125
Rabies (50): Viet Nam (HI) new directive on dog and cat meat trade
http://promedmail.org/post/20240611.8716978
Rabies (38): Viet Nam, increase
http://promedmail.org/post/20240426.8716166
Rabies (30): Viet Nam, financial implication
http://promedmail.org/post/20240329.8715680
Rabies (29): Viet Nam (HC) human, increase, urgent response
http://promedmail.org/post/20240324.8715592
Rabies (24): Viet Nam (PY) stray dog, human exp
http://promedmail.org/post/20240314.8715393
Rabies (18): Viet Nam (QN) human, dog
http://promedmail.org/post/20240305.8715187
Rabies (16): Viet Nam, increase
http://promedmail.org/post/20240302.8715146
Rabies (13): Viet Nam (CM) dog bite, restaurant owner
http://promedmail.org/post/20240216.8714883
Rabies (04): Viet Nam (PY) dog bite mistaken as scratch from collar,
fatal http://promedmail.org/post/20240113.8714212
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