Clinical features of rabies patients with abnormal sexual behaviors as the presenting manifestations: a case report and literature review

BMC Infectious Diseases
Zhaoxing TianWei Yan

Abstract

Abnormal sexual behaviors presenting as manifestations of rabies have occasionally been reported in the literature, although little attention has been paid to these cases to date. This study aimed to analyze the clinical features of rabies cases with abnormal sexual behaviors as the presenting manifestations. A case of 32-year-old man with frequent ejaculation as the initial symptom of rabies was first reported. Then, a literature review was conducted using databases including CNKI, SinoMed, VIP, Wanfang Data, ScienceDirect, ProQuest, OVID and PubMed. In addition to our case, 54 other rabies cases, with abnormal sexual behaviors as the presenting manifestations, have been reported since 1970. Among the 55 cases, 51 were male and three were female (unknown gender for one case), with ages ranging from 6 to 71 years. All cases were reported in developing countries, 46 in China. Dog bites were the major source of infection, and extremities were the main exposure sites. Overall, 46 (83.6%) cases had abnormal sexual behaviors as the initial symptoms. The major presenting manifestations were priapism and ejaculation in males and hypersexuality in females. All cases were clinically diagnosed based on medical history and clinical manife...Continue Reading

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Citations

Jan 20, 2021·Cellular and Molecular Neurobiology·Soheil GhassemiMohammad Sayyah
Jun 10, 2021·SAGE Open Medical Case Reports·Karma Lhendup, Thinley Dorji
Dec 3, 2020·Sexual Medicine Reviews·Ibrahim A Abdel-Hamid, Omar I Ali
Sep 23, 2021·Viral Immunology·Kewen SuLei Zhang

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