[A case of rabies encephalitis with long survival. Clinical pathological correlations]

Gac Med Mex. 1995 Mar-Apr;131(2):223-8.
[Article in Spanish]

Abstract

We present a case of a 22 year old male patient who developed a rabies encephalomyelitis with evolution of six weeks, treated first as a psychiatric disorder and later as an encephalitis. This case had the following important features; 1--A long time with the disease: usually the patients die into the first eight days after diagnosis; 2--The evident reactive gliosis; 3--Almost all the studied fields showed inclusion bodies in both supratentorial and infratentorial portions; 4--The hippocampus and spinal cord neurons had many or unique Negri bodies and some of those were giant; 5--Microglia proliferation and free acidophilus bodies. All those microscopic features mean a long evolution time that is rarely seen in this illness; in medical literature we found only ten long duration cases.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Brain / pathology
  • Diagnosis, Differential
  • Encephalitis, Viral / diagnosis
  • Encephalitis, Viral / mortality*
  • Encephalitis, Viral / pathology*
  • Humans
  • Inclusion Bodies, Viral
  • Male
  • Rabies / diagnosis
  • Rabies / mortality*
  • Rabies / pathology*
  • Time Factors