Are negri bodies seen in human who have died from rabies?

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SUMMARY

Negri bodies are indeed present in humans who have died from rabies, serving as post-mortem diagnostic indicators of the disease. These bodies are viral particle inclusions, specifically ribonuclear proteins, resulting from the high viral load in certain neuron types, particularly in the hippocampus. While they confirm rabies infection post-mortem, their utility in living patients is limited. For early detection, an ELISA test is recommended, although it remains uncertain in effectiveness, and rabies prophylaxis is advised for those at high risk.

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This discussion is beneficial for medical professionals, virologists, and public health officials involved in infectious disease management, particularly those focusing on rabies and its diagnostic challenges.

sameeralord
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My lec notes only specifies animal hippocampus, eg dog has this and unclear about humans. Humans do have this right, and it is a post mortem diagnostic method of rabies in humans right?
 
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Yes, humans get negri bodies from rabies infection. The negri bodies are viral particle inclusions (ribonuclear proteins) from the massive amounts of virus being produced. For reasons unknown to me (not sure if it is known) rabies really "kicks into over drive" in certain neuron types--Like those in the hippocampus.

The only thing it is really good for is post-mortem confirmation--So they aren't all that useful in humans. There is iirc an ELISA that is more useful for early detection in humans, but I think its still a gamble. The rule is, if in doubt take the rabies prophylatic vaccine (preformed Abs to rabies) along with the inactivated vaccine for longer immunity (people who are "high risk" should get the inactivated anyway).
 
Thanks bobze :smile:
 

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