Unusual Chief Complaint of Patient with History of Vaccination Leading to Unrecognized Human Rabies with Extreme Risk of Saliva Exposure for Medical Personnel-A Case Report and Literature Review
DOI:
https://doi.org/10.31584/jhsmr.2020725Keywords:
chest pain, chief complaint, nasogastric tube insertion, rabiesAbstract
The aim of this case report is to present an unrecognized case of human rabies with an unusual chief complaint-chest pain-at presentation. The patient had been vaccinated for rabies, presented multiple times at the emergency room, was discharged each time, and was eventually found dead at his house with an unknown cause of death. A post-mortem examination along with a trans-orbital necropsy and real-time reverse transcription polymerase chain reaction test were performed. The results showed rabies virus in the brain tissue.
References
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13.Tinsa F, Borgi A, Jahouat I, Boussetta K. Rabies encephalitis in a child: a failure of rabies post exposure prophylaxis? BMJ Case Rep 2015;1-3.
14.Srinivasan A, Burton EC, Kuehnert MJ, Rupprecht C, Sutker WL, Ksiazek TG, et al. Transmission of rabies virus from an organ donor to four transplant recipients. N Engl J Med 2005; 352:1103-11.
15.Shankar SK, Mahadevan A, Sapico SD, Ghodkirekar MS, Pinto RG, Madhusudana SN. Rabies viral encephalitis with probable 25-year incubation period! Ann Indian Acad Neurol 2012;15: 221-3
2.The Office of Disease Prevention and Control Region 12 Songkhla. Outbreak investigation on the rabies death [monograph on the Internet]. Songkhla: The Office; 2018 [cited 2019 Nov 22]. Available from: https://ddc.moph.go.th/ odpc12/news.php?news=704
3.Bureau of General Communicable Disease. Rabies practical guidelines and frequently asked questions. Nonthaburi: Ministry of Public Health; 2016.
4.Centers for Disease Control and Prevention. Human rabies--- Missouri [monograph on the Internet]. Georgia: CDC; 2008 [cited 2019 Nov 23]. Available from: https://www.cdc.gov/ mmwr/preview/mmwrhtml/mm5843a3.htm
5.Centers for Disease Control and Prevention. Imported human Rabies-New Jersey [monograph on the Internet]. Georgia: CDC; 2011 [cited 2019 Nov 23]. Available from: https://www. cdc.gov/mmwr/preview/mmwrhtml/mm6051a2.htm
6.Alknawy M, Mohammed I, Ulla SN, Aboud AA. First confirmed case of human rabies in Saudi Arabia. ID Cases 2018;12:29- 31.
7.Liu Y, Yang X, Yang X. Rabies in coronary care unit: a case report. Biomed Res 2018;29:1689-92.
8.Mader EC Jr, Maury JS, Santana-Gould L, Craver RD, El-Abassi R, Segura-Palacios E, et al. Human rabies with initial manifestations that mimic acute brachial neuritis and Guillain-Barré syndrome. Clin Med Insights Case Rep 2012;5:49-55.
9.Park SC, Crane IM, Pal K, Cagnina RE. Rabies encephalitis myocarditis mimicking ST-elevation myocardial infarction. Open Forum Infect Dis 2019;6:1-3.
10.Mani RS, Damodar T, S D, Domala S, Gurung B, Jadhav V, et al. Case reports: survival from rabies: case series from India. Am J Trop Med Hyg 2019;100:165-9.
11.Wertheim HF, Nguyen TQ, Nguyen KA, de Jong MD, Taylor WR, Le TV, et al. Furious rabies after an atypical exposure. PLoS Med 2009;6:264-8.
12.Department of Livestock Development. Rabies situation report [monograph on the Internet]. Bangkok: Ministry of Agriculture and Cooperatives; 2018 [cited 2019 Nov 21]. Available from: http://www.dld.go.th/th/images/stories/warning/2561/ 256110/25611012_1rabies.pdf
13.Tinsa F, Borgi A, Jahouat I, Boussetta K. Rabies encephalitis in a child: a failure of rabies post exposure prophylaxis? BMJ Case Rep 2015;1-3.
14.Srinivasan A, Burton EC, Kuehnert MJ, Rupprecht C, Sutker WL, Ksiazek TG, et al. Transmission of rabies virus from an organ donor to four transplant recipients. N Engl J Med 2005; 352:1103-11.
15.Shankar SK, Mahadevan A, Sapico SD, Ghodkirekar MS, Pinto RG, Madhusudana SN. Rabies viral encephalitis with probable 25-year incubation period! Ann Indian Acad Neurol 2012;15: 221-3
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Published
2020-01-15
How to Cite
1.
Sripong K. Unusual Chief Complaint of Patient with History of Vaccination Leading to Unrecognized Human Rabies with Extreme Risk of Saliva Exposure for Medical Personnel-A Case Report and Literature Review. J Health Sci Med Res [Internet]. 2020 Jan. 15 [cited 2024 Apr. 20];38(2):145-52. Available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/243946
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