LOUIS P. DEHNER, M.D.
The first case of human rabies encephalitis in a young American serviceman stationed in Vietnam is reported. He was bitten on the finger and was started on rabies antiserum and duck embryo vaccine approximately 36 hr later. The duck embryo vaccine was administered for 21 consecutive days. The patient died 108 days after being bitten, having the classic clinical features of rabies. Negri bodies were demonstrated in the brain, and the diagnosis was confirmed by mouse inoculation and fluorescent antibodies. The epidemiology of animal bites reported in the l Corps of South Vietnam is discussed. Delay and other factors that may explain treatment failure are examined.
DEHNER LP. Human Rabies Encephalitis in Vietnam. Ann Intern Med. ;72:375–378. doi: 10.7326/0003-4819-72-3-375
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Published: Ann Intern Med. 1970;72(3):375-378.
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