TY - JOUR T1 - Rabies encephalitis in a child: a failure of rabies post exposure prophylaxis? JF - BMJ Case Reports DO - 10.1136/bcr-2014-206191 VL - 2015 SP - bcr2014206191 AU - Faten Tinsa AU - Aida Borgi AU - Imen Jahouat AU - Khadija Boussetta Y1 - 2015/01/14 UR - http://casereports.bmj.com/content/2015/bcr-2014-206191.abstract N2 - Rabies remains a serious public health problem in many developing countries. The diagnosis is easy when a non-immunised patient presents with hydrophobia and hypersalivation after a bite by a known rabid animal but more difficult when a patient presents atypical symptoms after having received rabies postexposure prophylaxis. Rabies postexposure prophylaxis failure is rare. We report a case of a 6-year-old boy who presented febrile seizure with agitation and cerebellar signs, without hydrophobia or hypersalivation, 17 days after a dog bite. Despite four doses of rabies vaccine and immunoglobulin, he died. Diagnostic confirmation of rabies encephalitis was made in post mortem on brain biopsies by fluorescent antibody technique. ER -