Journal Article

Failure of Rabies Postexposure Prophylaxis In Patients Presenting with Unusual Manifestations

Prapimporn Shantavasinkul, Terapong Tantawichien, Supaporn Wacharapluesadee, Anuruck Jeamanukoolkit, Piyada Udomchaisakul, Pairoj Chattranukulchai, Patarapha Wongsaroj, Pakamatz Khawplod, Henry Wilde and Thiravat Hemachudha

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 50, issue 1, pages 77-79
Published in print January 2010 | ISSN: 1058-4838
Published online January 2010 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/649873
Failure of Rabies Postexposure Prophylaxis In Patients Presenting with Unusual Manifestations

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We report an atypical case of paralytic rabies presenting with trismus followed by limb weakness, areflexia, ophthalmoparesis, and bilateral ptosis. Atypical presentations and history of rabies postexposure prophylaxis led to delayed diagnosis. Nucleocapsid and glycoprotein genes of rabies viruses from the patient's and biting dog's brains were of identical sequences.

Journal Article.  2596 words. 

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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