- Rwanda. Someone is admitted with a dog bite. What do you do?
- Zambia. A 25-year-old man is admitted with muscle spasms, foam on the lips and confusion. There are beads of sweat over his whole body. When you offer him a glass of water in a quiet moment, he develops throat spasms. What do you think and how should you treat him?
- Sudan. A week after being bitten by a cat, a woman develops convulsions. She is practically unable to drink. Between convulsions, the muscles are obviously still taut. Her consciousness is clear. Cerebrospinal fluid is normal. What now?
- Honduras. A 4-year-old child is admitted with rapidly decreasing consciousness. You observe a stuporous, febrile child. It starts to fit during your clinical examination. What do you think and do?
- A man in the Congo has 5 cats and 2 dogs at home (non-vaccinated). He returns home after a drinking party. On the way back he feels a sudden pain in his leg. His leg becomes progressively more painful. He begins to see double and has difficulty in keeping his eyes open. Once home, he tries to sleep. An hour later he wakes with a cough and has difficulty in swallowing his saliva. His respiration starts to become difficult. He is brought to hospital. What do you think?
- A veterinary surgeon (vaccinated in France against rabies) is bitten in Togo by a cat. After the animal’s death, he observes rabies inclusions Negri-bodies in the animal’s brain. He rushes to the hospital. What do you do?
- Ghana. A group of children has been playing with a packet of strychnine powder. How would you recognise poisoning?
- Describe the difference between tetanus and rabies.
