SOLVED1985

A 48-year-old male from a rural area develops progressive pruritus of the left arm, followed by paresthesias. He presents to the local emergency department complaining of chest and back pain. The patient receives a cardiovascular evaluation and is discharged home. He returns the following day with worsening chest pain, agitation, and mental confusion. At this visit, his fiancée reports that the patient was bitten by a bat on his left arm 4-5 weeks prior to symptom onset. He is given human rabies immune globulin (HRIG) and the first dose of a rabies vaccine. What should the patient be told regarding disease evolution? A. Acute neurological phase (paralytic rabies) occurs in 40% of patients and presents with flaccid paralysis. B. 80% of patients may develop an aggressive course with a fast progression. C. Vocal cord paralysis is rare. D. Nonneural tissues can be affected.
SCIENCE
HEALTH SCIENCE
NURSING

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