Boy, 6, Undergoes Experimental Rabies Treatment
A 6-year-old boy in Florida is fighting for his life after getting rabies.
Ryker Roque had hallucinations and then seizures a few weeks after an infected bat bit him. His parents rushed him to the emergency room, where doctors broke the devastating news.
Rabies in the U.S. has become very rare. According to the CDC, there were only three cases reported in humans in 2015, the latest year for which numbers are available.
We essentially leave the patient alone as much as we can and wait for the patient to devise their own cure.
Rodney Willoughby, MD, pediatrician at Children’s Hospital of Wisconsin
It is nearly always fatal once symptoms start. But Ryker’s doctors haven’t given up. They are betting that a controversial experimental treatment — which has worked on just two others in the U.S. — will help him pull through.
Ryker’s family posted the details of his case along with an appeal for aid on a GoFundMe page. The Florida Department of Health confirmed there is a case of human rabies in the state and the person was infected by a bat and is being treated.
So far, Ryker has survived longer than he was expected to, which is giving his family hope.
The treatment has been dubbed “The Milwaukee Protocol” after the city where it was first tried in 2004. Doctors will place Ryker in coma and then treat him with a cocktail of antiviral drugs, some of which were made to treat Ebola, says Rodney Willoughby, MD, a pediatrician at Children’s Hospital of Wisconsin who came up with the treatment. The treatment is freely available to health care providers on the Internet.
“We have 18 survivors, hopefully more soon,” Willoughby said, adding that he could not talk about any specific patient’s case. A study published in August offers different numbers. It says there are just five published cases of human survivors of the treatment.
Most of the survivors have been in Peru, Willoughby says, which has far more human cases than the U.S. Only two of them are in the U.S. — his patient in Milwaukee, he says, and one in the California.
Still, the treatment doesn’t work most of the time. Willoughby says they’ve tried it in at least 80 cases. The high failure rate has prompted a backlash by some in the infectious disease community, who say that it should be abandoned.
Willoughby admits that when the treatment seems to work, he has no idea why.
“It’s witchcraft and voodoo,” he says. “I did this once. I baked cookies. They came out fine. Here’s my recipe. There’s no science in that,” he says.
Willoughby says it’s been difficult to study patients’ immune responses to the treatment because he needs special permission to do that, and patients often die or clear their virus on their own before he’s able to get it.
“We have patients come and go all the time that we don’t get to learn from,” he says. “That’s a real problem.”
The idea behind the treatment is to try to buy the patient more time to fight off the virus on their own.
“We essentially leave the patient alone as much as we can and wait for the patient to devise their own cure. They make an immune response, and that immune response is far superior to anything we could engineer,” Willoughby says.
It’s the only treatment associated with recovery from the rabies infection in people who haven’t been vaccinated.
Public health officials say that because the odds of survival are so poor, it’s important for anyone who comes into contact with a wild animal, like a bat, to get medical help right away, even if they aren’t sure they were bitten.
Emergency rooms offer a series of shots that, while expensive, can protect people who’ve been exposed from a full-blown infection.