Case of Rabies

The patient was brought in night of 8-9-2000 to the indoor department of my hospital. He was tried to be treated by various physicians and referred back and forth. Was dog bitten two months ago.

The disease progressed as follows: -

• The trouble was noted two weeks ago, in the beginning the speech begins to slur. Many words, he used to speak used to be unintelligible.
• Irritability increased to a marked degree. Became violent, angry and dangerous.
• Mild fevers off and on, symptoms in this regard changeable. Extreme thirst. Ravenous hunger. Hurried and impatient.
• Desire to escape, desire to bite and strike on others.
• Balance of the body became unstable. Salivation copious, viscid.
• Great stiffness in lower limbs. No pain.
• Craving for ice cold water but unable to drink due to spasm in throat spreading through out the body. Hence extreme fear of water.
• Temperament very irritable. Desire to injure others. Desire to cling to his mother. Surprisingly, no anger or violence towards his mother. Gestures, as if trying to frighten others or to injure them. Eyes staring, wild looking. Craving light.
• Head hot, limbs cold. Shrieking. Obstinate. Striking himself too.
• History of mild head injury three years ago. No problem was felt ever before.
• Was a very timid baby with carious teeth. Having habit of sleeping on abdomen.

Clinical diagnosis- Rabies.

Evaluation-

• OBSTINATE, headstrong
• OBSTINATE, headstrong - children
• CLINGING - take the hand of mother, will always
• CLINGING - child - grasps the nurse when carried
• HELD - desire to be held (Eliminating Rubric)
• LIGHT - desire for
• BITING
• BITING - himself
• STRIKING - himself
• SHAMEFUL IN CHILDREN
• SHRIEKING
• TIMIDITY
• SHRIEKING - obstinate
• OBSTINATE, headstrong - fever, during
• HYDROPHOBIA
• INJURIES of the head, after
• EXTREMITIES - COLDNESS
• TEETH - CARIES, decayed, hollow
• SALIVATION
• SLEEP - POSITION - abdomen, on
• HEAD - HEAT

Prescription-

8-9-2000

Rx- Stramonium 1M one dose.

SL 1 hourly.

9-9-2000 -Feeling of improvement.

Rx- Belladonna 1M, one hourly.

10-9-2000 -Again feeling that the improvement is lagging. No hydrophobia at all.

Rx- Ars alb 200, 2 hourly.

11-9-2000 -Improvement continued in all respects except irritability and desire to remain in his mother's hands.

Rx- Chamomilla 1M 3 hourly.

12-9-2000 -No further symptoms.

Rx- SL TDS x 10 Days.

23-9-2000 -Cured.

No medicine.