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A Case of Fatal Serotonin Syndrome–Like Human Rabies Caused by Tricolored Bat–Associated Rabies Virus

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  • Division of Pulmonary, Critical Care and Environmental Medicine, Department of Medicine, University of Missouri, Columbia, Missouri; Division of Infectious Diseases, Department of Medicine, University of Missouri, Columbia, Missouri; Department of Medicine, University of Florida, Gainesville, Florida

Human rabies is a fatal disease, transmitted by saliva of infected animals, and the diagnosis requires a high index of suspicion. Very few cases are reported annually in the United States. We present a case of human rabies without a clear exposure history that masqueraded as serotonin syndrome.

Author Notes

* Address correspondence to Hariharan Regunath, Department of Medicine, University of Missouri, 1 Hospital Drive, CE 334, Columbia, MO 65212. E-mail: regunathh@health.missouri.edu

Authors' addresses: Hariharan Regunath Division of Pulmonary Critical Care and Environmental Medicine, Department of Medicine, University of Missouri, Columbia, MO, and Division of Infectious Diseases, Department of Medicine, University of Missouri, Columbia, MO, E-mail: regunathh@health.missouri.edu. Bhavana Chinnakotla, Department of Medicine, University of Missouri, Columbia, MO, E-mail: bhavana611@gmail.com. Christian Rojas-Moreno and William Salzer, Division of Infectious Diseases, Department of Medicine, University of Missouri, Columbia, MO, E-mails: rojasch@health.missouri.edu and salzerw@health.missouri.edu. Natalie J. Hughes, Department of Medicine, University of Florida, Gainesville, FL, E-mail: natalie.hughes@medicine.ufl.edu. Harbaksh Sangha, Division of Pulmonary Critical Care and Environmental Medicine, Department of Medicine, University of Missouri, Columbia, MO, E-mail: sanghah@health.missouri.edu.

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