This study addresses the challenge of accurately assessing diazinon exposure in suspected self-poisoning cases. We evaluated butyrylcholinesterase (BChE) levels using a point-of-care (POCT) whole blood assay (adapted Ellman method) and compared it with the standard plasma Enzyme Multiplied Immunoassay Technique (EMIT). Diazinon exposure in four patients was confirmed using a validated gas chromatography–tandem mass spectrometry (GC-MS/MS) method with multiple reaction monitoring (MRM). A strong positive correlation was observed between POCT and EMIT BChE activity (r = 0.9638, p < 0.0001), indicating general agreement in BChE trends. However, Bland–Altman analysis revealed discrepancies in absolute BChE values. Notably, admission diazinon concentrations (GC-MS/MS) were significantly negatively correlated with BChE activity measured by both POCT (r = −0.9333, p = 0.0205) and EMIT (r = −0.9302, p = 0.0219). The POCT assay offers rapid, preliminary BChE assessments in suspected diazinon intoxication, useful in emergency settings. However, due to observed discrepancies, confirmatory testing with EMIT or GC-MS/MS is recommended for accurate quantification. This research highlights the critical need for robust confirmatory methods, such as GC-MS/MS, to validate rapid assays and improve the accuracy of diazinon intoxication detection.

The rabies virus is a major zoonosis that causes severe nervous disease in humans, leading to paralysis and death. The world’s second anti-rabies center was established in 1888 by Victor Babeș, in Bucharest, where an eponymous strain of rabies was isolated and used to develop a method for immunization. The Babeș strain of the rabies virus was used for over 100 years in Romania to produce a rabies vaccine for human use, based on animal nerve tissue, thus having a proven history of prophylactic use. The present study aimed to sequence the whole genome of the Babeș strain and to explore its genetic relationships with other vaccine strains as well as to characterize its relevant molecular traits. After being adapted for multiplication in cell lines and designated BAB-TMP, 99% of the viral genome was sequenced. The overall organization of the genome is similar to that of other rabies vaccine strains. Phylogenetic analysis indicated that the BAB-TMP strain is closely related to the Russian RV-97 vaccine strain, and both seem to have a common ancestor. The nucleoprotein gene of the investigated genome was the most conserved, and the glycoprotein showed several unique amino acid substitutions within the major antigenic sites and linear epitopes.