It's extremely risky to approach stray dogs in Kenya.

Furious Rabies Malaise, fever Headache Hallucinatons Pupillary Dilatation Hydrophobia Anxiety Spasticity Covulsions

Paralytic Rabies Less distinctive than furious rabies. Pain and paraesthesia at site if the animal bite. Paralysis Muscle weakness, especially respiratory muscles.

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Treatment

• Thorough wound cleansing.
• Human anti-rabies immune globulin, 20 IU/Kg,
• Half infused at wound site and
• Half injected IM.
• Human diploid cell rabies vaccine, 1.0 ml IM five times over one month period.
• Once symptoms appear, survivals are rare.
• Kalweo died six days after admission, presumed cardiac arrhythmia.

A 31 year-old woman is brought to the clinic for talking a lot.