title: Severe abdominal pain as the first manifestation of rabies.
abstract: BACKGROUND
  Rabies is an acute fatal viral disease that is generally transmitted from animals to humans following wild and domestic animal bites. The rabies virus enters the body from the area where the individual is bitten, and then the virus moves towards the brain and involves the nerves.
  
  
  METHODS
  During the years 2001-2011, there have been 73 reported rabies cases. About 50,000 reported human deaths are annually due to rabies. The actual number of human deaths due to rabies in Asia especially India, Pakistan and Bangladesh are more than these numbers, since there is no advanced surveillance system for disease control to determine the actual number of infected and fatal human cases. According to the World Health Organization (WHO) reports, more than 10 million people who are bitten by animals are annually treated by prophylactic treatment regimens for rabies, worldwide.
  
  
  CONCLUSIONS
  This paper reports on a case of human rabies with the first disease manifestation (severe abdominal pain). The patient reported extensive biting on his left leg by a dog. He had a slight fever of 38.1°C. It has been recommended that a careful history should be taken from patients for diagnosis of rabies disease. A complete history should be taken from patients for diagnosis of disease, because rabies could be wrong with various diseases with atypical symptoms. because various diseases with atypical symptoms or long incubation periods can visit.
authors.affiliation: Infectious and Tropical Diseases Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IR Iran.
authors.forename: Jamshid
authors.initials: J
authors.lastname: Ayatollahi
authors.affiliation: Infectious and Tropical Diseases Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IR Iran.
authors.forename: Mohammad Reza
authors.initials: MR
authors.lastname: Sharifi
authors.affiliation: Infectious and Tropical Diseases Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IR Iran.
authors.forename: Seyed Hossein
authors.initials: SH
authors.lastname: Shahcheraghi
keywords: Humans; Iran; Rabies