A case of human rabies in the urban area of Ribeirã Preto, SP, Brazil.

Abstract:

:A 39-year old male patient was admitted to the University Hospital of the Faculty of Medicine of Ribeirão, Preto with signs and symptoms of sudden dyspnea, generalized myalgia and behavioral disorders. The initial suspicion was alcohol abstinence syndrome and the patient was referred for psychiatric and neurologic care. The evolution of the patient with a worsening of signs and symptoms, presence of crises of tachypnea, agitation, difficulty to swallow, irritability and hydrophobia, and his report of having been bitten by a suspected dog raised the hypothesis of rabies. The diagnosis was confirmed by examination of a corneal impression, biological tests in the cerebrospinal fluid (CSF) and saliva and visualization of Negri bodies in nervous tissue (direct immunofluorescence). The patient evolved with agitation, aggressiveness, and worsening tachypnea intercalating with apnea, and died on the 4th day after admission.

authors

Silva JM,Silva AA,Ferreira AH,Monteiro ME,Santiago RC,Passos AD

doi

10.1590/s0036-46651997000300010

subject

Has Abstract

pub_date

1997-05-01 00:00:00

pages

175-6

issue

3

eissn

0036-4665

issn

1678-9946

journal_volume

39

pub_type

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