狂犬病早期症状不典型,容易误诊。本院1988年收治1例以频繁阴茎勃起为首发症状的狂犬病患者,特报告如下。患者,男,41岁。以反复阴茎勃起,排精38h 为主诉于1988年9月6日入院。38h 前无明显诱因出现反复阴茎勃起,腰背肌肉收缩,排精,全过程持续2min,间歇5～6min,不能自控,影响睡眠。平时性欲正常。入院查体:T 37℃,神清,自动体位,心肺无异常。睾丸阴茎形态正常,未触及结节。神经系统检查:双侧膝腱反射及跟腱反射亢进。化验:血常规、脑脊液常规正常。拟诊:植物神经功能紊乱。给予安定、鲁米那钠肌注,口服中药等治疗,症状无缓解。给予腰麻后,症状控制半天,又继续频繁发作。入院后2天出现怕风、怕水、舌头僵硬、吞咽困难、发热。追问病史,才告知2个月前右小腿被狗咬伤,曾注射“狂犬 Early symptoms of rabies are not typical, easy to misdiagnosis. Our hospital in 1988 admitted to a case of frequent penile erection as the first symptom of rabies patients, special report is as follows. Patient, male, 41 years old. In order to repeatedly erect penis, 38h rowing mainly complaints in September 6, 1988 admission. 38h no obvious incentive before repeated penile erection, back muscle contraction, ejaculation, the whole process lasts 2min, intermittent 5 ~ 6min, can not be controlled, affecting sleep. Usually normal libido. Admission examination: T 37 ℃, Shen Qing, automatic position, no abnormal heart and lung. Testis penis normal shape, did not touch the nodules. Nervous system examination: bilateral knee tendon reflex and Achilles tendon hyperreflexia. Laboratory tests: blood routine, cerebrospinal fluid routine normal. To be diagnosed: autonomic dysfunction. Give stability, intramuscular sodium luminal sodium, oral medicine and other treatment, no relief of symptoms. Give spinal anesthesia, the symptoms control for a long time, continue to frequent attacks. Fear of the wind appears 2 days after admission, afraid of water, tongue stiffness, difficulty swallowing, fever. Asked history, before informing the right leg was bitten by a dog two months ago, had injected "rabies