Rabies patients do not bite when they have an attack, and their clinical manifestations are divided into manic and paralytic types, and the manic type is divided into three periods: prodromal, excitatory, and paralytic.
1. Manic type:
(1) Prodromal period: there are often nausea, irritability and insomnia, low fever, headache and so on. Sound, light, wind, etc. may cause a feeling of tightness in the throat. There may be pain, itching, ants sensation etc. in the vicinity of the wound.
(2) Excitement period: manifested as high excitement, fear and anxiety, fear of water, fear of wind, etc.. The body temperature is 38~40℃ or even more than 40℃. Patients can have severe spasm of pharyngeal muscles when they hear the sound of running water, so they dare not see or hear water.
A variety of external stimuli such as wind, light, sound can also cause pharyngeal muscle spasm. In severe cases, there may be paroxysmal twitching of muscles of the whole body, and respiratory difficulty due to spasm of respiratory muscles.
(3) Paralytic stage: the patient’s whole body is flaccidly paralyzed, coma occurs, and finally dies of respiratory and circulatory failure.
(2) Paralytic type: the patient does not have the excitation phase and the manifestation of hydrophobia, and often has incontinence, headache, weakness, vomiting, high fever, etc., and finally dies due to generalized flaccid paralysis.
Rabies patients should go to the hospital in time, under the guidance of the doctor standardized treatment.