title: Severe ketoalkalosis as initial presentation of imported human rabies in France.
abstract: We report a patient with an unusual initial metabolic presentation of imported human rabies who became symptomatic within 2 weeks of returning from Mali to France. This is the single case of imported human rabies identified in France within the past 11 years and the first report of viral RNA in bronchial secretions.
authors: Service de Réanimation Médicale, Hôpitaux Universitaires Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France UPEC-Université Paris-Est Créteil Val de Marne, Créteil, France.
authors: Damien
authors: D
authors: Contou
authors: Institut Pasteur, Lyssavirus Dynamics and Host Adaptation Unit, National Reference Centre for Rabies, WHO Collaborating Centre for Reference and Research on Rabies, Paris, France.
authors: Laurent
authors: L
authors: Dacheux
authors: Service de Réanimation Médicale, Hôpitaux Universitaires Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France.
authors: Inès
authors: I
authors: Bendib
authors: Unité de Contrôle, d'Epidémiologie et de Prévention de l'Infection (CEPI), Groupe Henri Mondor-Albert Chenevier, Assistance Publique-Hôpitaux de Paris, Créteil, France.
authors: Sarah
authors: S
authors: Jolivet
authors: UPEC-Université Paris-Est Créteil Val de Marne, Créteil, France Unité de Contrôle, d'Epidémiologie et de Prévention de l'Infection (CEPI), Groupe Henri Mondor-Albert Chenevier, Assistance Publique-Hôpitaux de Paris, Créteil, France.
authors: Christophe
authors: C
authors: Rodriguez
authors: Service de Réanimation Médicale, Hôpitaux Universitaires Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France UPEC-Université Paris-Est Créteil Val de Marne, Créteil, France.
authors: Françoise
authors: F
authors: Tomberli
authors: UPEC-Université Paris-Est Créteil Val de Marne, Créteil, France Service de Neurologie, Hôpitaux Universitaires Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France.
authors: Laurent
authors: L
authors: Cleret de Langavant
authors: Institut Pasteur, Lyssavirus Dynamics and Host Adaptation Unit, National Reference Centre for Rabies, WHO Collaborating Centre for Reference and Research on Rabies, Paris, France.
authors: Rachel
authors: R
authors: Lavenir
authors: Institut Pasteur, Lyssavirus Dynamics and Host Adaptation Unit, National Reference Centre for Rabies, WHO Collaborating Centre for Reference and Research on Rabies, Paris, France.
authors: Anthony
authors: A
authors: Lepelletier
authors: Institut Pasteur, Lyssavirus Dynamics and Host Adaptation Unit, National Reference Centre for Rabies, WHO Collaborating Centre for Reference and Research on Rabies, Paris, France.
authors: Florence
authors: F
authors: Larrous
authors: Institut Pasteur, Lyssavirus Dynamics and Host Adaptation Unit, National Reference Centre for Rabies, WHO Collaborating Centre for Reference and Research on Rabies, Paris, France.
authors: Cécile
authors: C
authors: Troupin
authors: Institut Pasteur, Lyssavirus Dynamics and Host Adaptation Unit, National Reference Centre for Rabies, WHO Collaborating Centre for Reference and Research on Rabies, Paris, France.
authors: Hervé
authors: H
authors: Bourhy
authors: Service de Réanimation Médicale, Hôpitaux Universitaires Henri Mondor, Assistance Publique-Hôpitaux de Paris, Créteil, France UPEC-Université Paris-Est Créteil Val de Marne, Créteil, France Unité de Contrôle, d'Epidémiologie et de Prévention de l'Infection (CEPI), Groupe Henri Mondor-Albert Chenevier, Assistance Publique-Hôpitaux de Paris, Créteil, France christian.brun-buisson@hmn.aphp.fr.
authors: Christian
authors: C
authors: Brun-Buisson
mesh_terms: D000471:Alkalosis / Q000209:etiology*; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005602:France; D006801:Humans; D008297:Male; D008302:Mali; D008875:Middle Aged; D008969:Molecular Sequence Data; D011818:Rabies / Q000150:complications / Q000175:diagnosis / Q000628:therapy / Q000821:virology; D014195:Travel