Atypical rabies with MRI findings: clue to the diagnosis.
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 ﬁndings of rabies encephalitis are well known, but in myelitis these need to be further characterised. The authors present MRI ﬁndings in a conﬁrmed case of rabies myelitis. The differential diagnosis of the imaging ﬁndings as well as the role and the relevance of imaging in the diagnosis of this disease are discussed.
Department of Internal Medicine, CSM Medical University, Lucknow, India. vaish12@rediffmail.com
Arvind Kumar
AK
Vaish
Nirdesh
N
Jain
Lokesh Kumar
LK
Gupta
Sudhir Kumar
SK
Verma
D000328:Adult; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011818:Rabies / Q000175:diagnosis*