Evidence map›Paper›PMID 37620861›Full record

ArticleInfectious diseases of poverty2023

Rabies outbreak in Brazil: first case series in children from an indigenous village.

Dilceu Silveira Tolentino Júnior, Maryana Santos Vasconcelos Marques, Amanda Krummenauer, Magda Machado Saraiva Duarte, Silene Manrique Rocha, Mariana Gontijo de Brito, Ludmila Ferraz de Santana, Roberto Carlos de Oliveira, Eliseu Miranda de Assis, Kellyn Kessiene de Sousa Cavalcante and 1 more

Abstract readCase Reports
In one paragraph

Article in Infectious diseases of poverty, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Article
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  4. Establishment of a cell line from the hematophagous Bat Desmodus rotundus susceptible to Lyssavirus rabies.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2025
    Article
  5. Article
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  7. Article
  8. Article
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  11. Modeling of Human Rabies Cases in Brazil in Different Future Global Warming Scenarios.International journal of environmental research and public health · 2024
    Article
  12. Human Rabies during the COVID-19 Pandemic: Insights into Rabies Worldwide and Brazil.Revista da Sociedade Brasileira de Medicina Tropical · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Dilceu Silveira Tolentino JúniorPostgraduate Program in Technology, Environment and Society, Federal University of the Jequitinhonha e Mucuri Valleys, Teófilo Otoni, MG, Brazil. dilceujunior@bol.com.br.ORCID http://orcid.org/0000-0003-2435-7576
Maryana Santos Vasconcelos MarquesSpecial Indigenous Health District of Minas Gerais and Espírito Santo, Ministry of Health, Governador Valadares, MG, Brazil.
Amanda KrummenauerBrazil Field Epidemiology Training Program, Ministry of Health, Health and Environment Surveillance Secretariat, Brasília, DF, Brazil.
Magda Machado Saraiva DuarteBrazil Field Epidemiology Training Program, Ministry of Health, Health and Environment Surveillance Secretariat, Brasília, DF, Brazil.
Silene Manrique RochaHealth Surveillance Secretariat, Ministry of Health, Brasília, DF, Brazil.
Mariana Gontijo de BritoState Department of Health of Minas Gerais, Coordination of Zoonoses, Belo Horizonte, MG, Brazil.
Ludmila Ferraz de SantanaState Department of Health of Minas Gerais, Coordination of Zoonoses, Belo Horizonte, MG, Brazil.
Roberto Carlos de OliveiraPostgraduate Program in Integrated Territory Management, Vale do Rio Doce University, Governador Valadares, MG, Brazil.
Eliseu Miranda de AssisFederal Institute of Bahia, Eunápolis, BA, Brazil.
Kellyn Kessiene de Sousa CavalcantePostgraduate Program in Public Health, Federal University of Ceará, Fortaleza, CE, Brazil.
Carlos Henrique AlencarPostgraduate Program in Public Health, Federal University of Ceará, Fortaleza, CE, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman rabies outbreak transmitted by bats continues to be a relevant public health problem not only in the Amazon region. The disease has affected one of the areas with the greatest poverty in southeastern Brazil, a region inhabited by the Maxakali indigenous people. CASE PRESENTATION: We describe four cases of rabies among indigenous children that occurred in the indigenous village of Pradinho, municipality of Bertópolis, Minas Gerais, Brazil. Cases were notified between April and May 2022, all of whom died on average eight days after the first symptoms. All cases were observed in rural residents under 12 years of age. The probable form of exposure was through bat bites. The predominant symptoms were prostration, fever, dyspnea, sialorrhea, tachycardia, and altered level of consciousness. Half of the cases underwent late and/or incomplete post-exposure rabies prophylaxis, however, the other half underwent pre-exposure rabies prophylaxis, with only one case completing the scheme and another undergoing the adapted Milwaukee Protocol (Recife Protocol). All cases ended in death.

conclusionsThis was the first rabies outbreak among indigenous people in Brazil. Among the manifested clinical forms in the series, there was a disease atypical presentation in at least one case. We suggest active surveillance and an intercultural educational campaign to prevent new cases.

Indexed as

ChiropteraRabiesAnimalsBrazilChildDisease OutbreaksHumansPublic HealthBrazilIndigenous populationLow incomeOutbreakRabies

Identifiers

PMID37620861
PMCPMC10464476

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.