Unusual Chief Complaint of Patient with History of Vaccination Leading to Unrecognized Human Rabies with Extreme Risk of Saliva Exposure for Medical Personnel-A Case Report and Literature Review

Kittisak Sripong

Abstract

The aim of this case report is to present an unrecognized case of human rabies with an unusual chief complaint-chest pain-at presentation. The patient had been vaccinated for rabies, presented multiple times at the emergency room, was discharged each time, and was eventually found dead at his house with an unknown cause of death. A post-mortem examination along with a trans-orbital necropsy and real-time reverse transcription polymerase chain reaction test were performed. The results showed rabies virus in the brain tissue.

 Keywords

chest pain; chief complaint; nasogastric tube insertion; rabies

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DOI: http://dx.doi.org/10.31584/jhsmr.2020725

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