An 11-year-old boy in Ontario, Canada, died. He had rabies because he touched a bat.

加拿大安大略省一名11歲男孩死亡，他因觸碰蝙蝠而感染狂犬病。

The boy slept in a cottage in 2024. A bat touched him. He did not see any bite marks. He did not see the bat act strange.

該男孩於2024年在一家小屋中睡覺，當時有一隻蝙蝠觸碰了他。他沒有看到任何咬傷痕跡，也沒有發現蝙蝠有異常行為。

First, the boy felt numb in his face. Doctors thought he had other sicknesses. Then, he became very confused. He went to the hospital.

起初，男孩感覺臉部麻痺。醫生原以為他是患有其他疾病。隨後，他變得非常意識混亂，於是前往醫院就醫。

Tests showed he had the rabies virus. This is the first case in Ontario since 1967. Bats are the main way people get rabies in North America now.

檢測結果顯示他感染了狂犬病病毒。這是安大略省自1967年以來的第一例病例。目前在北美，蝙蝠是人類感染狂犬病的主要途徑。

The boy died. You must get a rabies shot immediately if a bat touches you, even if you see no injury.

該男孩不幸死亡。如果被蝙蝠觸碰，即便沒有看到傷口，也必須立即接種狂犬病疫苗。

An 11-year-old boy in Ontario, Canada, has died from a rabies infection after coming into direct contact with a bat.

加拿大安大略省一名 11 歲男孩在與蝙蝠直接接觸後，因感染狂犬病而死亡。

The illness began nineteen days after the boy encountered a bat while sleeping at a cottage in northern Ontario in 2024. Although there were no visible wounds and the animal did not act strangely, the virus was still transmitted. At first, doctors misdiagnosed the patient with Bell's palsy and a mouth infection because he had facial numbness and swelling. However, his condition worsened quickly, leading to confusion and hallucinations. He was eventually moved to a Pediatric Intensive Care Unit, where laboratory tests confirmed he had a version of rabies found in bats.

這名男孩於 2024 年在安大略省北部的一座小屋睡覺時遇到一隻蝙蝠，病症在 19 天後開始顯現。儘管當時沒有明顯傷口且動物行為正常，病毒仍發生了傳播。起初，由於患者出現面部麻痺與腫脹，醫生將其誤診為貝爾面癱及口腔感染。然而，他的病情迅速惡化，導致意識混亂並出現幻覺。他最終被轉至兒童加護病房，實驗室檢測證實他感染了蝙蝠身上的一種狂犬病病毒。

This is the first case of locally acquired human rabies in Ontario since 1967. While vaccines for pets have reduced the risk from dogs, bats remain the main source of rabies in North America. Medical experts emphasize that bat teeth are so small that bite marks are often impossible to see. Consequently, doctors recommend post-exposure prophylaxis (PEP)—which includes a vaccine and immune globulin—for anyone who has direct contact with a bat. Because rabies is almost always fatal once symptoms appear, life-support was withdrawn on the seventeenth day of the patient's hospital stay.

這是安大略省自 1967 年以來首例本地感染的人類狂犬病個案。雖然寵物疫苗降低了由狗傳染的風險，但蝙蝠仍是北美洲狂犬病的主要來源。醫學專家強調，蝙蝠的牙齒極小，咬傷痕跡通常無法被看見。因此，醫生建議任何與蝙蝠有直接接觸的人都應採取暴露後預防措施 (PEP) —— 包括接種疫苗和免疫球蛋白。由於狂犬病在症狀出現後幾乎必然致命，患者在住院第 17 天撤除了生命維持系統。

The patient passed away after showing clinical symptoms, which highlights the importance of getting immediate medical treatment regardless of whether an injury is visible.

患者在出現臨床症狀後去世，這凸顯了無論是否能看見傷口，立即接受醫療處理都至關重要。

An 11-year-old male in Ontario, Canada, has deceased due to a rabies infection following direct contact with a bat.

加拿大安大略省一名 11 歲男孩因與蝙蝠直接接觸，感染狂犬病而死亡。

The clinical progression commenced nineteen days post-exposure, during which the patient had encountered a bat while asleep at a northern Ontario cottage in 2024. Despite the absence of visible cutaneous lesions and the lack of erratic animal behavior, the virus was transmitted. Initial medical consultations resulted in misdiagnoses of Bell's palsy and herpes gingivostomatitis, attributed to the presentation of facial numbness and swelling. Subsequent neurological deterioration—characterized by visual hallucinations, confusion, and the loss of brainstem reflexes—necessitated admission to a Pediatric Intensive Care Unit. Laboratory analysis and the Canadian Food Inspection Agency confirmed a bat rabies virus variant.

臨床進展在接觸 19 天後開始，該患者於 2024 年在安大略省北部的一棟度假小屋睡眠時接觸到蝙蝠。儘管沒有明顯的皮膚病變且動物行為正常，病毒仍完成了傳播。最初的醫療諮詢由於患者出現面部麻痺與腫脹，導致被誤診為貝爾面癱（Bell's palsy）及疱疹性齦口炎。隨後的神經系統惡化——以視覺幻覺、意識混亂及腦幹反射喪失為特徵——使其必須入住兒童加護病房。實驗室分析與加拿大食品檢查局證實，為一種蝙蝠狂犬病毒變異株。

Historically, this incident represents the first locally acquired human rabies case in Ontario since 1967, contributing to a total of 28 documented cases in Canada since 1924. While domestic animal vaccinations have mitigated canine-mediated transmission, chiropteran species remain the primary vector in North America. The medical literature emphasizes that the diminutive nature of bat dentition often renders bite marks imperceptible. Consequently, the administration of post-exposure prophylaxis (PEP), comprising a vaccine and human rabies immune globulin, is indicated for any direct contact. Should symptomatic manifestation occur, the prognosis is near-universally fatal, as evidenced by the withdrawal of life-sustaining therapies on the seventeenth day of the patient's hospitalization.

從歷史上看，此事件是安大略省自 1967 年以來首例本地感染的人類狂犬病病例，使得加拿大自 1924 年以來記錄在案的病例總數達到 28 例。雖然家畜疫苗接種減少了由犬類介導的傳播，但蝙蝠物種仍是北美洲的主要媒介。醫學文獻強調，由於蝙蝠牙齒極小，咬傷痕跡往往难以察覺。因此，對於任何直接接觸，均建議進行暴露後預防（PEP），包括接種疫苗和人類狂犬病免疫球蛋白。一旦出現症狀，預後幾乎均為致命，正如該患者住院第 17 天撤除維持生命治療的情況所示。

The patient died after the onset of clinical symptoms, underscoring the necessity of immediate PEP regardless of visible injury.

患者在臨床症狀出現後死亡，凸顯了無論是否有明顯傷口，立即進行 PEP 的必要性。