Case report demonstrates paralytic rabies presenting as acute flaccid paralysis without hydrophobia, highlighting diagnostic overlap with Guillain-Barré syndrome.
One-fifth of rabies cases may present with features of acute-onset flaccid paralysis, which mimic Guillain-Barré syndrome (GBS). Diagnosing paralytic rabies is challenging as the hallmark features such as aerophobia or hydrophobia tend to be absent in almost half of cases.
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Maharatna et al. (2026) studied this question.
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