一例罕见的模仿格林-巴利综合征的哑型狂犬病

D. Raj, M. Reddy, Riya V Raju, Mohammed Kaif
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摘要

狂犬病是一种人畜共患疾病,通过动物咬伤(热带国家的狗咬伤)传播。狂犬病可表现为两种形式:(i)脑炎和(ii)麻痹性狂犬病。80%的病例为脑炎(狂躁型)狂犬病,而20%的病例为麻痹性(哑型)狂犬病。脑性狂犬病主要表现为恐水和恐空等症状,而麻痹性狂犬病表现为类似格林-巴利综合征(GBS)的急性弛缓性麻痹。两种形式的多器官功能障碍都有,但在麻痹性狂犬病中出现较晚。案例表示
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A Rare Case of Dumb Rabies Mimicking Guillain Barre Syndrome
Introduction: Rabies is a zoonotic disease that spread through animal bites (dog bites in tropical countries). Rabies can be presented in two forms: (i) Encephalitic and (ii) Paralytic rabies. Encephalitic (Furious) rabies is seen in 80% of cases whereas Paralytic (dumb) rabies in 20% of cases. Encephalitic rabies presents with cardinal symptoms like hydrophobia and aerophobia whereas paralytic rabies presents with acute flaccid paralysis resembling Guillain barre syndrome (GBS). Multiorgan dysfunction occurs in both forms but occurs late in paralytic rabies. Case representation
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