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Magnetic resonance imaging abnormalities in encephalomyelitis due to paralytic rabies: A case report

Bikram Prasad Gajurel1, Niraj Gautam1, Ashish Shrestha1

  • 1Department of Neurology Institute of Medicine Maharajgunj Medical Campus Tribhuvan University Kathmandu Nepal.

Clinical Case Reports
|January 26, 2022
PubMed

Insights

Rabies diagnosis is crucial for encephalitis after animal bites, even post-prophylaxis. Typical MRI findings aid diagnosis when tests are unavailable.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Radiology

Background:

  • Rabies is a fatal neuroinfectious disease transmitted through infected animal bites.
  • Encephalitis following an animal bite necessitates consideration of rabies, even after post-exposure prophylaxis (PEP).

Observation:

  • Clinical diagnosis of rabies can be challenging, especially in the absence of definitive laboratory confirmation.
  • Magnetic resonance imaging (MRI) may reveal characteristic findings suggestive of rabies encephalitis.

Findings:

  • Typical MRI findings can support the clinical suspicion of rabies in encephalitis patients.
  • The study highlights the importance of considering rabies despite prior PEP administration.

Implications:

  • Early consideration of rabies based on clinical presentation and MRI findings can expedite diagnosis and management.
  • This underscores the utility of neuroimaging in diagnosing rabies when confirmatory tests are pending or unavailable.
Keywords:
encephalomyelitismagnetic resonance imagingparalytic rabies

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