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Rabies From Cats to Humans - Symptoms, Diagnosis, and Treatment

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Cats can spread rabies, a fatal viral disease, to humans through bites. Read the article to learn more about rabies in cats and humans.

Medically reviewed by

Dr. Arpit Varshney

Published At December 7, 2022
Reviewed AtDecember 7, 2022

Introduction

Although rabies is usually associated with dogs, any mammal can be affected by the rabies virus. However, cats are the most common pets in most households. Among all the viral infections that affect cats, rabies is the deadliest, as it affects the central nervous system. The virus transmits through saliva, entering an open wound through a cat bite. Rabies is found all over the world. However, few countries have introduced successful elimination standards. The centers for disease control and prevention (CDC) estimates around 59,000 people die worldwide every year from rabies.

What Is Rabies?

Rabies is an infection transmitted through the bite of an infected animal. The rabies virus belongs to the Rhabdoviridae family. The virus affects the central nervous system of mammals, ultimately affects the brain, and leads to death. Animals like dogs, cats, raccoons, skunks, and bats can transmit the virus to humans via scratches or bites.

How Can Cats Get Rabies?

Cats can get infected through a bite from an infected animal, and the virus is spread through saliva. Rarely can the saliva contaminate a cat’s open wound or enter through the mucous membrane of the eyes, nose, or mouth.

How Does Cat Rabies Spread to Humans?

Cats with rabies transfer the virus to humans via scratch or saliva following a bite. In addition, the virus can transmit through the mucous membranes or an open wound. The transmission of the rabies virus from cats occurs exclusively from animal to human or animal to animal; human-to-human transmission is extremely rare. Once the virus enters one's body, it spreads through the nerves to the brain. The bites on the head and neck may speed up the transmission to the brain and spinal cord because of the primary trauma location. Once the virus reaches the brain, it multiplies and causes severe brain and spinal cord inflammation.

What Are the Symptoms of Rabies in Cats and Humans?

Signs and Symptoms of Rabies in Cats

The early symptoms of rabies in cats may be hard to spot. It occurs in three phases:

Prodromal Phase: It lasts for one to two days and includes symptoms like:

  • Fever.

  • Excessive salivating.

  • Pupil dilation.

  • Fly biting.

  • Erratic behavior.

  • Mood changes.

  • Loss of appetite.

  • Solitary behavior.

  • Itching the wound.

Furious Phase: After the prodromal phase, the cat may become more erratic on the second or third day and start eating objects like inedible sticks and stones.

Other symptoms include:

  • Change in the cat’s voice.

  • Irritability.

  • Violent or aggressive behavior.

  • Loitering around.

  • Loss of muscle coordination and disorientation.

  • Seizures.

Paralytic Phase: The cat becomes unresponsive and depressed in this stage. Other symptoms include:

  • Weakness.

  • Foaming.

  • Open mouth and protruding tongue.

  • Breathlessness.

  • Paralysis.

  • Coma or death.

Signs and Symptoms of Rabies From Cats to Humans

The signs and symptoms in humans appear at least three weeks to three months after the bite and may last for weeks to months. The initial symptoms include flu-like symptoms: fever, malaise, muscle weakness, headache, and tingling or prickling sensation at the site of the bite.

As the virus spreads to the CNS (central nervous system), two types of diseases can develop - furious rabies and paralytic rabies.

Furious Rabies: This condition is characterized by hyperactivity and excitability in the person. Other symptoms include:

  • Erratic behavior.

  • Anxiety.

  • Insomnia.

  • Agitation.

  • Hallucination.

  • Confusion.

  • Excessive salivation.

  • Foaming at the mouth.

  • Difficulty in swallowing.

  • Fear of water.

Paralytic Rabies: This condition takes longer to set in. Infected people may gradually become paralyzed, fall into a coma, and die. According to the WHO (world health organization), 20 % of human rabies cases are paralytic.

Once the clinical signs start to appear, the disease is mostly fatal, and the treatment is usually supportive. But, according to WHO (world health organization) estimates, 20 % of human rabies cases are paralytic.

How Is Rabies Diagnosed?

Currently, there are no tests to diagnose the early stages of rabies. Once the symptoms appear, the doctor may perform blood, saliva, or tissue tests. DFA (direct fluorescent antibody) test and a biopsy of the neck can be done to detect the disease.

What Are the Treatment Options for Rabies?

Rabies is not curable once the symptoms start appearing. However, it is possible to prevent the infection from setting in through a series of preventive shots. If one gives a history of being bitten by a wild animal, the doctor may administer a rabies vaccine as a preventive shot to stop the infection. Rabies immunoglobulins can help boost the rabies antibodies in the body to fight against the infection.

When to Seek Medical Attention?

Contact a healthcare provider if a wild animal has bitten one to determine the risk for rabies or other illnesses. If the pet cat shows symptoms of rabies, isolate the cat. If the cat has caused any injury like a scratch or bite to one, wash the area immediately with soap and water. Then, contact the healthcare provider for preventive shots and injections to prevent the infection from setting in.

How to Prevent the Spread of Rabies From Cats?

Although there is no remedy for the condition, it is preventable. Certain simple measures can help prevent one from catching rabies:

  • Get a rabies vaccine before traveling to countries known to have the rabies virus.

  • Keep the domestic cats from roaming outside.

  • Report stray animals in the neighborhood to animal control.

  • Keep the cats indoors during a rabies outbreak.

  • Visit the veterinarian with the cat regularly and be up-to-date on all vaccinations, including the rabies vaccine.

  • Wash cat scratches and bites with soap and water immediately.

Conclusion

Rabies is a life-threatening but preventable viral infection. Cat rabies is transmitted through the saliva in the bite or rarely through mucus membranes of the eyes, nose, and mouth or an open wound. Rabies is a medical urgency, not an emergency. Therefore, contact the healthcare provider for preventive shots if a rabies-infected cat has bitten one. A series of injections and preventative shots can help prevent the disease from setting in.

Frequently Asked Questions

1.

Can Cats Infect People With Rabies?

 
Rabies-infected cats can spread the virus to people by scratching or by spitting after biting them. The virus can also spread through an open wound or mucosal membranes. Human-to-human transmission of the cat rabies virus is exceedingly uncommon and only happens between animals or humans.

2.

If a Person Gets Rabies From a Cat, What Happens?

The virus usually affects the central nervous system. The symptoms can be categorized as two types: 
Furious Rabies: It is characterized by a person's hyperactivity and excitability. Other signs include: 
 - Erratic actions. 
 - Anxiety. 
 - Insomnia. 
 - Agitation. 
 - Hallucination. 
 - Confusion. 
 - Excessive slurring.
Paralytic Rabies: This ailment takes longer to manifest. Infected persons may progressively lose their ability to move, go into a coma, and die. 20 % of human rabies cases, according to the WHO (global health agency), are paralytic.

3.

How Easily Can a Cat Spread Rabies to Individuals?

 
Cats seldom contract rabies. The last year for which statistics were available, 2015, only had 7.6 % of recorded rabies cases in the U.S. from domestic animals, including pets. In the previous 40 years, there have not been any proven cases of cat-to-human rabies in the United States.

4.

What Signs Point to a Cat Having Rabies?

The following changes can be seen in cats having rabies
 - Alterations in Behavior: Even normally quiet cats can get anxious or too excited. 
 - Aggression: Cats are capable of becoming agitated, hostile, and violent towards people or other animals. 
 - Drooling: The muscles of a cat's mouth may be affected by rabies, making swallowing impossible. 
 - Poor Muscle Control: A decline in muscular control.

5.

Following a Cat Bite, Do One Need a Rabies Shot?

PEP (post exposure prophylaxis) is a 14-day regimen that includes one dose of immune globulin and four doses of the rabies vaccination in the US. The healthcare practitioner should administer rabies immune globulin and the initial dose of the rabies vaccination as soon as feasible following exposure.

6.

How Old Must a Cat Be to Catch Rabies?

There is no definitive age for rabies to occur in cats. Certain vaccinations for cats can be administered as young as two months old. A booster shot should be given a year after the initial vaccine, regardless of the age of the animal.

7.

How Do One Respond if a Cat Bites Them?

If one gets bitten, try best to remain still and not to react. Stand up and place the hands behind the back. Ignore the cat's misbehavior completely and direct their focus to a suitable play activity instead. Incase of suspicion of rabies consult the veterinary doctor.

8.

Do House Cats Transmit Rabies?

An owner can get the disease from a cat that has rabies. One must come into touch with the saliva of an infected animal in order to contract rabies. This does not imply that if a cat licks or drools on individuals, they will contract rabies. It is necessary for the saliva to make contact with a mucous membrane or a skin wound.

9.

What Threats Do Cat Bites Pose?

Both people and other animals can get seriously injured by cat bites. All cats have a lot of germs in their mouths that can infect bite wounds and cause tissue infections. Pasteurella multocida, a highly pathogenic bacterium, is one of the most prevalent types.

10.

How Long Does a Rabies-Infected Cat Live?

This can be for 10 days, a year, or even longer. Incubation lasts from three and eight weeks in cats, which is normally shorter than it does in dogs. In most cases, death happens 10 days after the first symptoms appear.

11.

Will a Cat Bite Hurt Individuals or Not?

Their bites are usually deep and painful. If one is bitten, make sure the wound is cleaned up and get medical help. These wounds frequently get infected. The study found that when cats and other household animals are stressed, they are more likely to bite.

12.

When Must One Be Concerned About a Cat Bite?

If a cat bites an individual and the skin is broken, they should contact a doctor right away. If they get any severe infection-related symptoms, such as fever, chills, pus or fluid pouring from the area, or enlarged lymph nodes, profound bleeding from the wound site. The wound seems to be deep or substantial.

13.

Can One Take Care of a Cat Bite by Themselves?

Apply pressure with a fresh bandage or cloth to the bite or scrape if it is bleeding to stop the bleeding. For at least five minutes, wash the wound under pressure from a faucet with soapy water. Scrubbing might cause the tissue to bruise. Dry the wound and apply a clean dressing.

14.

What Are Human Rabies’ Early Symptoms?

The initial signs of rabies, such as weakness or pain, fever, or headache, may resemble those of the flu. Moreover, there can be pain, prickling, or an itchy feeling at the bite area. The signs might persist for many days. The symptoms then intensify to include agitation, anxiety, disorientation, and brain malfunction.
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Dr. Arpit Varshney
Dr. Arpit Varshney

General Medicine

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