備註請放最後面 違者新聞文章刪除
1.媒體來源:
外媒 MedicalXpress
2.記者署名:
edited by Gaby Clark, reviewed by Robert Egan
由加比·克拉克 編輯 ，羅伯特·伊根審閱
3.完整新聞標題:
Fatal rabies case with no visible wound shows why bat contact alone should
trigger immediate vaccination, experts say
專家稱，一例無明顯傷口的致命狂犬病病例表明，僅接觸蝙蝠就應立即接種疫苗。
4.完整新聞內文:
Fatal rabies case with no visible wound shows why bat contact alone should
trigger immediate vaccination, experts say
by Canadian Medical Association Journal
edited by Gaby Clark, reviewed by Robert Egan
Ontario's first fatal rabies case since 1967 provides critical guidance to
help prevent deaths from rabies in future cases. The article was published in
the Canadian Medical Association Journal.
專家稱，一例無明顯傷口的致命狂犬病病例表明，僅接觸蝙蝠就應立即接種疫苗。
加拿大醫學會雜誌
由加比·克拉克 編輯 ，羅伯特·伊根審閱
安大略省自1967年以來首例狂犬病死亡病例為預防未來狂犬病死亡提供了重要指引。該文
章發表於《加拿大醫學會雜誌》。
Human rabies is caused by a virus and is almost always fatal, but
post-exposure prophylaxis (PEP), with a series of rabies vaccines and human
rabies immune globulin injections, can prevent death if given promptly and
before symptoms develop. In North America, bats, raccoons, skunks and foxes
are the main carriers of rabies. Bats are the most common cause of rabies and
pose a heightened risk because scratches or bites may be small and hard to
see.
This fatal rabies case occurred in an 11-year-old boy who awoke with a bat
lying on his mouth and nose and had no apparent bite or scratch marks.
Nineteen days after exposure, he went to an emergency department with a range
of symptoms, including vomiting, facial "pins and needles" and numbness, and
was later diagnosed with rabies. The health care team provided supportive
care, as there is no cure once rabies symptoms develop.
The parents agreed to share their son's case to help raise awareness of
rabies.
人類狂犬病由病毒引起，幾乎總是致命的，但如果在症狀出現前及時進行暴露後預防（
PEP），包括接種一系列狂犬病疫苗和注射人狂犬病免疫球蛋白，則可以避免死亡。在北
美，蝙蝠、浣熊、臭鼬和狐狸是狂犬病的主要攜帶者。蝙蝠是狂犬病最常見的傳播媒介，
由於其造成的抓傷或咬傷可能很小且難以發現，因此風險更高。
這例致命的狂犬病病例發生在一名11歲男孩身上。他醒來時發現一隻蝙蝠趴在他的口鼻上
，身上沒有明顯的咬傷或抓痕。接觸狂犬病毒19天后，他因嘔吐、臉部麻木和刺痛等一系
列症狀前往急診室就診，後被確診為狂犬病。由於狂犬病一旦出現症狀便無法治愈，醫療
團隊只能提供支持性治療。
這對父母同意分享他們兒子的病例，以幫助提高人們對狂犬病的認識。
"Any direct human contact with a bat, even in the absence of a visible bite
or scratch, is an indication for PEP and should be discussed with public
health authorities," writes Dr. Brian Hummel, a pediatric infectious disease
specialist at McMaster Children's Hospital and assistant professor at
McMaster University, Hamilton, Ontario, with co-authors.
"This is especially important to consider as we approach the summer months,
when human–bat encounters are at their peak," Hummel emphasizes.
People who may have been in contact with a wild animal that could potentially
have rabies should seek medical attention promptly. In cases of possible
rabies virus exposure, public health authorities should be notified and PEP
started in consultation.
「即使沒有明顯的咬傷或抓傷，任何人與蝙蝠的直接接觸都是進行暴露後預防的指徵，應
該與公共衛生部門討論，」麥克馬斯特兒童醫院兒科傳染病專家、麥克馬斯特大學助理教
授布萊恩·胡梅爾博士及其合作者寫道。
「隨著夏季臨近，人與蝙蝠相遇的幾率達到高峰，這一點尤其值得考慮，」胡梅爾強調。
可能接觸過攜帶狂犬病毒的野生動物的人員應立即就醫。如懷疑接觸過狂犬病毒，應通知
公共衛生部門，並諮詢相關專家後開始進行暴露後預防（PEP）。
Although rabies in humans is rare, with only 28 cases reported since 1924,
the authors recommend awareness, prompt action with PEP and clinical judgment
in cases of suspected exposure to the rabies virus.
"Rabies is almost always fatal, with no established efficacious therapies,
making prevention crucial. Rabies PEP is highly effective if administered
promptly, in consultation with public health authorities, after any direct
human contact with a bat, even in the absence of visible lesions. Bats may or
may not show classic signs of rabies; hence, any direct human contact with a
bat is considered high risk," the authors conclude.
In people with neurological symptoms that may be compatible with rabies,
clinicians should ask about exposure to potentially rabid animals.
雖然人類狂犬病很少見，自 1924 年以來僅報告了 28 例，但作者建議提高警惕，在疑似
接觸狂犬病毒的情況下迅速採取暴露後預防措施，並進行臨床判斷。
「狂犬病幾乎總是致命的，目前尚無有效的治療方法，因此預防至關重要。如果在與蝙蝠
直接接觸後，即使沒有可見的病變，也應立即在公共衛生部門的指導下進行狂犬病暴露後
預防，那麼狂犬病暴露後預防非常有效。蝙蝠可能表現出也可能不表現出狂犬病的典型症
狀；因此，任何與蝙蝠的直接接觸都被認為是高道風險的總結。
對於出現可能與狂犬病相符的神經系統症狀的人，臨床醫生應詢問是否接觸過可能患有狂
犬病的動物。
5.完整新聞連結 (或短網址)不可用YAHOO、LINE、MSN等轉載媒體:
https://medicalxpress.com/news/2026-06-fatal-rabies-case-visible-wound.html
6.備註:
當狂犬病不用咬傷直接皮屑排遺接觸傳染滿要命的，該案例潛伏期兩個禮拜後輕微厭食
，不到兩個月就死。
https://www.cmaj.ca/content/198/25/E969
患者住院期間病情複雜，出現自主神經功能障礙、呼吸器相關性肺炎及進行性神經功能惡
化。入院第5天，腦幹反射消失。入院第17天，停止維生治療，患者在家人的陪伴下安詳
離世。
狂犬病潛伏期通常為1-2月，但時間變化大，在記錄中曾出現4天到數年不等，但目前WHO
認定的狂犬病的潛伏期不超過1年。