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Postvaccinal encephalomyelitis and rabies can run similar courses and can be misdiagnosed.On admission to the hospital,this patient was initially diagnosed as having postvaccinal disease.However,autopsy results and postmortem viral cultures disclosed a complex picture,including acute rabies and widespread perivenous demyelination.One other similar report from 1977 in the literature is reviewed.No adequate explanation of the rare coexistance of acute rabies encephalomyelitis and perivascular demyelination is available. |
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