Admitted to our Rcu , neurological manifestation of rabies (( after dog bite )) he may need general Anasthesia at any time DDX : is tetanus case who may die awake by muscle contractions...
We closed the lights after and asked the staff to decrease the sounds arround him(( if tetanus and if rabies needs quite dark room)).
He got anti rabies zero dose one day before.
No sites of bite or wounds confuses us .
Glasco coma scale 14
HR 126
Sounds arround him makes him agitated
(( may be s& s)) of brain involvement.
Brain MRI
SHOWS
FRONTAL BRAIN lesions ???
Even though , we start tetanic managements
We closed the lights after and asked the staff to decrease the sounds arround him(( if tetanus and if rabies needs quite dark room)).
He got anti rabies zero dose one day before.
No sites of bite or wounds confuses us .
Glasco coma scale 14
HR 126
Sounds arround him makes him agitated
(( may be s& s)) of brain involvement.
Brain MRI
SHOWS
FRONTAL BRAIN lesions ???
Even though , we start tetanic managements
We started sedation and prepared for entubation and on:
Steroids
Anti viral
Anti bacterial
Steroids
Anti viral
Anti bacterial
4-11-2015
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