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Table 2 Summary of clinical features of 55 cases of rabies with abnormal sexual behaviors as the presenting manifestations

From: Clinical features of rabies patients with abnormal sexual behaviors as the presenting manifestations: a case report and literature review

Variables N (%)
Sex
 Male 51 (92.7%)
 Female 3 (5.5%)
 Unknown 1 (1.8%)
Age (years) a
 Range 6–71
 Median 40
Source of infection
 Dog 51 (92.7%)
 Cat 1 (1.8%)
 Mouse 1 (1.8%)
 Mongoose 1 (1.8%)
 Unknown 1 (1.8%)
Exposure site
 Leg 25 (45.5%)
 Arm 10 (18.2%)
 Leg and arm 1 (1.8%)
 Feet or ankles 5 (9.1%)
 Hand 2 (3.6%)
 Close contact 1 (1.8%)
 Face 1 (1.8%)
 Unknown 10 (18.2%)
Incubation period (months) b
 Range 1–24
 Median 3
Diagnostic methods
 Animal bite 5 (9.1%)
 Typical symptoms 1 (1.8%)
 Animal bite + typical symptoms 42 (76.4%)
 Animal bite + typical symptoms + virological or other techniques 7 (12.7%)
Typical symptoms of rabies
 Yes 50 (90.9%)
 No 5 (9.1%)
Abnormal sexual behaviorsd
Male (n = 51)
  Frequent ejaculation 35 (68.6%)
   < 10 4 (11.4%)
   10–19 20 (57.1%)
   20–49 6 (17.1%)
   ≥ 50 5 (14.3%)
  Spermatorrhea 6 (11.8%)
  Pain of penis 3 (5.9%)
  Pain of scrotum and testicles 1 (2.0%)
  Priapism or frequent erection 45 (88.2%)
  Hypersexuality or increased libido 2 (3.9%)
Female (n = 3)
  Hypersexuality, frequent intercourse and frequent orgasm 1 (33.3%)
  Hypersexuality 1 (33.3%)
  Feeling of ants climbing in vagina 1 (33.3%)
Gender unknown (n = 1)
  Priapism 1
Abnormal sexual behaviors as initial symptoms
 Yes 46 (83.6%)
 No 8 (14.5%)
 Unknown 1 (1.8%)
Duration of abnormal sexual behaviors (days) c
 Range 1–15
 Median 4
Debridement and vaccination after exposure
 Debridement 1 (1.8%)
 Vaccination 2 (3.6%)
 Debridement with vaccination 1 (1.8%)
 None 49 (89.1%)
 Unknown 2 (3.6%)
Outcome
 Death 55 (100%)
 Survival 0 (0%)
  1. Data are expressed as the number (%), unless otherwise indicated
  2. a, information on the exact ages was available for 48 cases; b, information on the exact incubation period was available for 49 cases; c, information on the exact duration of abnormal sexual behaviors was available for 47 cases; d, One patient may have more than one abnormal sexual behaviors