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Neurology India
Medknow Publications on behalf of the Neurological Society of India
ISSN: 0028-3886 EISSN: 1998-4022
Vol. 52, Num. 2, 2004, pp. 270-271

Neurology India, Vol. 52, No. 2, April-June, 2004, pp. 270-271

Letter To Editor

Authors' Reply

Department of Neurology, All India Institute of Medical Sciences, C.N.Centre, Ansari Nagar, New Delhi - 110 029

Correspondence Address:Department of Neurology, All India Institute of Medical Sciences, C.N.Centre, Ansari Nagar, New Delhi - 110 029

Code Number: ni04086

Sir,
We appreciate the comments and would like to clarify the issues raised:
1. History of dog bite: It is known that the most common cause of rabies is dog bite but in a small number rabies is caused by other animal bite as well. However, the dilemma arises in a patient bitten by dog and the question which arises is if the flaccid weakness is due to paralytic rabies or post antirabies vaccine polyradyculopathy.
2. Incubation period: Though the mean incubation period in paralytic rabies is 49 days. There are case in whom symptoms of paralytic rabies occurs earlier.
3. Sphincter disturbance and sensory symptoms if occur are helpful in diagnosing a case as paralytic rabies. However, it may not be present in early stages in most cases.
4. We agree that disease progression is rather rapid and downhill in paralytic rabies but is not useful at the time of presentation.
5. Abnormality on magnetic resonance imaging is observed in paralytic rabies and was emphasized in the report.
The point that we wished to raise were the difficulties encountered in such a situation especially in the first few days and tips to differentiate the two conditions.

Copyright 2004 - Neurology India

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