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Imaging findings in rabies

T M Sing1, M Y Soo

  • 1Department of Radiology, Westmead Hospital, Sydney, New South Wales, Australia.

Australasian Radiology
|August 1, 1996
PubMed
Summary
This summary is machine-generated.

This case report details a rare instance of rabies in Australia, diagnosed post-mortem in a 10-year-old girl. The study highlights unusual cerebral angiogram findings potentially linked to viral-induced arterial spasm.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Radiology

Background:

  • Rabies is a rare viral zoonotic disease with a high fatality rate, posing a diagnostic challenge, especially with atypical presentations.
  • This report focuses on a unique case in Australia, emphasizing the importance of considering rare diseases in differential diagnoses.
  • The study reviews radiological findings, particularly cerebral angiography, in the context of rabies.

Observation:

  • A 10-year-old Vietnamese girl presented with symptoms of acute encephalitis.
  • Cerebral angiography revealed arterial narrowing in the supraclinoid internal carotid and terminal basilar arteries.
  • Autopsy confirmed rabies as the cause of death, with no abnormalities in major blood vessels or basal meninges.

Findings:

  • The observed arterial narrowing on angiography is hypothesized to be due to transient vasospasm induced by the rabies virus.

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  • This case represents the second reported instance of rabies in Australia, underscoring its rarity.
  • The paper documents and discusses unusual imaging findings, including the abnormal angiogram, in relation to rabies.

    • Implications:

    • This case underscores the potential for rabies to present with neurological symptoms mimicking other encephalitic processes.
    • The findings suggest that viral infections, like rabies, can induce transient arterial changes detectable by angiography.
    • Reporting rare cases with distinct radiological features aids in improving diagnostic capabilities and understanding disease manifestations.