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He did not seek medical attention for this bite and had no history of vaccination against rabies.No other exposures to bats, dogs, or other mammals were identified.Mexican health authorities identified five close contacts of the patient in his home state of Michoacán but determined that none of these contacts had exposures requiring PEP.

Additionally, laboratory tests for human immunodeficiency virus, syphilis, herpes simplex virus, arboviruses, Lyme disease, and autoimmune neuropathies all were negative.In August 2010, CDC confirmed a case of rabies in a migrant farm worker, aged 19 years, hospitalized in Louisiana with encephalitis.The man developed acute neurologic symptoms at the end of July, shortly after arriving in the United States from Michoacán, Mexico.Despite supportive care, his condition deteriorated, and he died on August 21.Antemortem diagnostic testing confirmed the diagnosis of rabies, and samples collected at autopsy were positive for a vampire bat rabies virus variant.




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