Rabies Encephalitis With Myocarditis Mimicking ST-Elevation Myocardial Infarction.

Open Forum Infect Dis

Division of Pulmonary and Critical Care, University of Virginia Health System, Charlottesville, Virginia.

Published: June 2019

Rabies virus infection remains a significant public health threat particularly in developing countries without effective canine vaccination programs. After symptoms develop, there is no effective treatment and mortality approaches 100%. In countries such as the United States where human rabies remains rare, initial diagnosis is often delayed. In this study, we describe a case of rabies encephalitis presenting with concern for acute ST-elevation myocardial infarction (STEMI) based on electrocardiogram, laboratory, and exam findings and briefly review the known literature on cardiac involvement of rabies virus infection.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6590977PMC
http://dx.doi.org/10.1093/ofid/ofz260DOI Listing

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