{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T11:42:04Z","timestamp":1792237324091,"version":"4.4.0"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Pediatrics"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>We report the first case of human rabies in a child from Amazonas after 10\u2009years without an outbreak. An 8-year-old girl was admitted to the local hospital because of headache, myalgia, diarrhea, fever, and vomiting during the previous 4\u2009days. Meningoencephalitis was suspected, and empiric therapy with ceftriaxone and vancomycin was started. However, in the following 3\u2009days, she also presented progressive lower extremities weakness, behavioral changes, photophobia, irritability, sialorrhea, and hallucinations. Thus, she was transferred to our hospital. Phenytoin, dexamethasone, mannitol, and acyclovir were started, and ceftriaxone was continued. Five days later, the mother recalled that the patient was bitten by a feral cat. Thus, human rabies immunoglobulin serum was administered immediately. However, 2\u2009days later, the patient died. Post-mortem brain direct immunofluorescence study confirmed human rabies. Awareness campaigns can be lifesaving since more than 99% of deaths can be prevented if timely treatment is provided.<\/jats:p>","DOI":"10.1177\/30502225251318115","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T01:11:34Z","timestamp":1740532294000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Pediatric Rabies Due to a Feral Cat Bite in the Amazonas Region of Peru: First Rabies Case in a Decade"],"prefix":"10.1177","volume":"12","author":[{"given":"Karen Tatiana","family":"Cuela-Mart\u00ednez","sequence":"first","affiliation":[{"name":"Hospital Nacional Dos de Mayo, Lima, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter","family":"Pe\u00f1a-V\u00e1squez","sequence":"additional","affiliation":[{"name":"Hospital Nacional Dos de Mayo, Lima, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9ctor","family":"V\u00e1squez-Paz","sequence":"additional","affiliation":[{"name":"Hospital Nacional Dos de Mayo, Lima, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6637-6463","authenticated-orcid":false,"given":"Manuel Andr\u00e9","family":"Vir\u00fa-Loza","sequence":"additional","affiliation":[{"name":"Hospital Nacional Dos de Mayo, Lima, Peru"},{"name":"Universidad San Ignacio de Loyola, Lima, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,2,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tmaid.2024.102750"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.62429"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.15381\/anales.v85i2.27605"},{"key":"e_1_3_3_5_2","unstructured":"Centro Nacional de Epidemiolog\u00eda Prevenci\u00f3n y Control de Enfermedades Ministerio de Salud del Per\u00fa. 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Norma T\u00e9cnica de Salud para la Vigilancia Prevenci\u00f3n y Control de la Rabia Humana en el Per\u00fa. Published online January 17 2017. Accessed January 11 2025. https:\/\/cdn.www.gob.pe\/uploads\/document\/file\/190962\/190520_RM_N_C2_B0_024-_2017-_minsa.PDF20180823-19572-1dwf91c.PDF?v=1593813538"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/QCO.0000000000000578"},{"key":"e_1_3_3_16_2","first-page":"1","article-title":"Use of a reduced (4-dose) vaccine schedule for postexposure prophylaxis to prevent human rabies: recommendations of the advisory committee on immunization practices","volume":"59","author":"Rupprecht CE","year":"2010","unstructured":"Rupprecht CE, Briggs D, Brown CM, et al Use of a reduced (4-dose) vaccine schedule for postexposure prophylaxis to prevent human rabies: recommendations of the advisory committee on immunization practices. MMWR Recomm Rep Morb Mortal Wkly Rep Recomm Rep. 2010;59(RR-2):1-9.","journal-title":"MMWR Recomm Rep Morb Mortal Wkly Rep Recomm Rep"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2017.91"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1017\/cjn.2015.331"}],"container-title":["Sage Open Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/30502225251318115","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/30502225251318115","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/30502225251318115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T11:13:13Z","timestamp":1792235593000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/30502225251318115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":17,"alternative-id":["10.1177\/30502225251318115"],"URL":"https:\/\/doi.org\/10.1177\/30502225251318115","relation":{},"ISSN":["3050-2225","3050-2225"],"issn-type":[{"value":"3050-2225","type":"print"},{"value":"3050-2225","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"article-number":"30502225251318115"}}