Two types of rabies
The three typical fears of rabies patients are fear of wind, fear of water, and fear of light.
Clinical manifestations can be divided into two types: encephalitis type and paralysis type.
The lesions of manic rabies are mainly in the brainstem, cervical nerves or higher central nervous system, and the patient is manic.
The lesions of paralysis rabies are limited to the spinal cord and medulla oblongata, and the patient is quiet.
Manic rabies
Accounts for about 2/3 of the number of rabies patients. The patient gradually enters a highly excited state and is very sensitive to stimulation such as water sound, light, and wind.
It is also accompanied by symptoms such as pharyngeal muscle spasm and dyspnea.
Paralysis rabies
There is no excitement period clinically, no hydrophobia symptoms and dysphagia. It starts with high fever, headache, vomiting, and pain at the bite site.
Followed by symptoms such as limb weakness, abdominal distension, partial or complete muscle paralysis, urinary retention or incontinence.
What are the early symptoms of rabies
1. Prodromal stage: Before the excitement state appears, most patients have low fever, drowsiness, lack of appetite, and a few have vomiting, headache, back pain and other symptoms.
They are sensitive to pain, sound, light, wind and other stimuli, and have a feeling of throat tightening.
2. Excitement stage or spasm stage: It can be divided into two types, and the manifestations of the two types are different.
3. Coma or paralysis stage: The paralysis type is generally about 13 days. The two types of rabies are not easy to distinguish.
The spasm stops and the patient becomes quiet temporarily.
Sometimes he can still drink water and swallow it reluctantly, and the reaction weakens or disappears, turning into flaccid paralysis, among which limb soft paralysis is the most common.
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