Snapshot A 13-year-old boy in rural Asia presents to a local hospital after a dog bite. The dog did not belong to anybody and is often seen running around the area. His parents report that this occurred a few weeks ago, but that they weren’t concerned until the boy started having low-grade fever and chills. While the physician explains that they can administer both active and passive immunity, as symptoms have already started, the parents must prepare for the worst. Introduction Classification login to view 12 more bullets Associated conditions login to view 2 more bullets Prevention login to view 4 more bullets Epidemiology Demographics login to view 2 more bullets Risk factors login to view 1 more bullet ETIOLOGY Pathogenesis login to view 3 more bullets Presentation Symptoms login to view 4 more bullets Physical exam login to view 19 more bullets Studies Labs login to view 3 more bullets Histology login to view 5 more bullets Making the diagnosis login to view 1 more bullet Differential Botulism login to view 2 more bullets Temporal lobe (herpes simplex virus-1) encephalitis login to view 2 more bullets Treatment Management approach login to view 7 more bullets Conservative login to view 3 more bullets Medical login to view 8 more bullets Complications Respiratory failure leading to death Prognosis Most cases, without early intervention, lead to coma and death within weeks