Title: Pneumomediastinum – Uncommon Presentation of Rabies
Authors: Aleena Elizabeth Andrews, Devarajan Ellezhuthil
DOI: https://dx.doi.org/10.18535/jmscr/v8i11.61
Abstract
Rabies is caused by neurotropic RNA virus of rhabdoviridae family, transmitted mainly through the saliva of infected domestic or wild animals, resulting in incurable, fatal encephalomyelitis. Of the two varieties of its presentation, classical furious form is most often diagnosed readily with features of hydrophobia, aerophobia, aggressive behaviour, whereas the atypical paralytic presentation may pose dilemma in diagnosis.
Here we have a case of an adolescent male admitted for evaluation for agitation, dysphagia, and breathlessness with incidentally detected finding in Computed Tomography of head prompted us to review the chest radiograph, which showed pneumomediastinum.
Keywords: Rabies; Rhabdoviridae; Pneumomediastinum; Encephalomyelitis; Negri bodies.