Atypical rabies with MRI findings: clue to the diagnosis.

Autor(es): Vaish Arvind Kumar,Jain Nirdesh,Gupta Lokesh Kumar,Verma Sudhir Kumar

Resumo: Rabies is known for most as a fatal infectious disease, mainly transmitted to both humans and animals through bites by rabid animals. In its classical form, rabies is well recognised, but when it presents atypically in paralytic form, it may become difficult to distinguish from Guillain-Barré syndrome (GBS) or myelitis, particularly where history is not forthcoming or concealed. The authors report here an atypical case of paralytic rabies presenting with descending paralysis followed by furious form where clue to suspicion was MRI findings. Imaging in rabies is seldom done. MRI ?ndings of rabies encephalitis are well known, but in myelitis these need to be further characterised. The authors present MRI ?ndings in a con?rmed case of rabies myelitis. The differential diagnosis of the imaging ?ndings as well as the role and the relevance of imaging in the diagnosis of this disease are discussed.

Imprenta: BMJ Case Reports, v. 2011, 2011

Identificador do objeto digital: 10.1136/bcr.05.2011.4234

Descritores: Guillain-Barre Syndrome - Viral infections

Data de publicação: 2011