Pathognomic finding of rabies is: March 2012
**Core Concept**
Rabies is a viral encephalitis caused by a lyssavirus, primarily transmitted through the saliva of infected animals, typically dogs. The disease is characterized by inflammation of the brain and is almost invariably fatal if left untreated. The pathognomonic finding refers to a specific clinical sign that is unique to rabies.
**Why the Correct Answer is Right**
The correct answer is hydrophobia, also known as fear of water. Hydrophobia is a classic symptom of rabies, resulting from the inflammation of the brain and the associated spasms of the laryngeal muscles. When a patient with rabies attempts to swallow water, the spasms of the laryngeal muscles cause a characteristic difficulty in swallowing, often accompanied by a fear of water. This symptom is thought to be due to the inflammation of the nerves that control the muscles of the pharynx and larynx.
**Why Each Wrong Option is Incorrect**
* **Option A:** Paralysis of the face is a possible symptom of rabies, but it is not the pathognomonic finding. While facial paralysis can occur, it is not as distinctive or specific as hydrophobia.
* **Option B:** Seizures can occur in rabies, but they are not unique to the disease. Seizures can be caused by a variety of conditions, and their presence alone does not confirm a diagnosis of rabies.
* **Option D:** Encephalitis is a hallmark of rabies, but it is not a specific or pathognomonic symptom. Encephalitis is a more general term that can refer to inflammation of the brain due to a variety of causes.
**Clinical Pearl / High-Yield Fact**
The "three Rs" of rabies diagnosis are: Rage, Restlessness, and Respiratory failure. These symptoms, often accompanied by hydrophobia, are the classic triad of rabies and should prompt a high degree of suspicion for the disease.
**Correct Answer: B. Paralysis of the face is a possible symptom of rabies, but it is not the pathognomonic finding. While facial paralysis can occur, it is not as distinctive or specific as hydrophobia.