A man arrived at an emergency room with neurological disorders: uncontrolled facial twitching, anxiety, and feelings of fear. He also had a sore throat and difficulty in swallowing and complained of itching over his entire body. He remained alive for several days but became increasingly agitated and refused to drink because of the pain involved in swallowing. He vomited repeatedly, and his temperature rose to 106° F. He died one week after being admitted to the hospital.
An autopsy revealed dark-staining bodies in the cells of his brain and a raised antibody titer in his blood. There were no obvious bites or scratches on his skin, though interviews with friends and family indicated that a bat had landed on the man’s face about a month before he was admitted to the hospital.
- 1. What did the man suffer from?
- 2. What were the antibodies against?
- 3. What were the dark-staining bodies in his brain cells?
- 4. What preventive measures might health care providers have used to save the man's life?
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