PARALYTIC RABIES: A CASE REPORT AND REVIEW OF THE LITERATURE
Main Article Content
Abstract
Rabies is a dangerous infectious disease with a mortality rate of nearly 100%. This disease has two clinical forms: encephalitic (or furious) form and paralytic (or dumb) form. Although accounting for 20 - 30% of cases, paralytic rabies doesn't have specific characteristics. The acute flaccid paralysis of paralytic rabies
can be misdiagnosed as Guillain-Barré syndrome (GBS) and other cerebrospinal lesions. In this report, we describe a patient with a history of category III exposure due to dog bites, who had been vaccinated but still presented with progressive paralysis to coma and death. PCR tests for rabies virus in saliva, nuchal skin, and cerebrospinal fluid were negative. Rabies was only confirmed by detection of specific anti-rabiesvirus antibodies in cerebrospinal fluid.
Article Details
Keywords
Rabies, paralytic rabies, dumb rabies, acute flaccid paralysis
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