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Of these, 27 were coworkers who reported sharing a drinking vessel with the patient, and 68 were health-care workers with various exposures.
In total, 95 of 204 (46.5%) patient contacts received PEP.
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.
Rabies virus antigen was detected in postmortem brain tissues collected on August 22, and antigenic typing determined the variant to be a vampire bat rabies virus variant, which was subsequently confirmed by nucleic acid amplification and sequencing.
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Public Health Investigation Public health authorities in Louisiana and Mexico interviewed the patient's family members, friends, and coworkers to identify potential rabies virus exposures.A lumbar puncture produced cerebrospinal fluid (CSF) with a mildly elevated white blood cell count of 8 cells/mm) with 67% lymphocytes and 12% neutrophils, a normal glucose, and no organisms on staining.
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