Incubation period is 10 14 days . Prodromal symptoms include swelling of lymph nodes, muscle pain, headache, fever, prior to the emergence of the rash . The rash is usually only present on the trunk but has the capacity to spread to the palms and soles of the feet, occurring in a centrifugal distribution.
42.
The prodromal phase, which precedes psychotic symptoms, is characterized by deterioration in school performance, social withdrawal, disorganized or unusual behavior, a decreased ability to perform daily activities, a deterioration in self-care skills, bizarre hygiene and eating behaviors, changes in affect, a lack of impulse control, hostility and aggression, and lethargy.
43.
Our article explains that " " In many cases the infected animal is exceptionally aggressive, may attack without provocation, and exhibits otherwise uncharacteristic behavior . " " . . . and . . . " " The first stage is a one-to three-day period characterized by behavioral changes and is known as the prodromal stage.
44.
Generally, symptoms may include prodromal sensations such as burning, itching, or stinging, which may precede the appearance of any lesion by some hours; and pain, which is often out of proportion to the extent of the ulceration and is worsened by physical contact, especially with certain foods and drinks ( e . g ., if they are acidic ).
45.
The prodromal phase may have no symptoms, or may mimic a non-specific viral infection, marked by flu-like symptoms that typically last for a few days . There may be fever, headache, nausea, meningismus, dysacusia ( discomfort caused by loud noises or a distortion in the quality of the sounds being heard ), tinnitus, and / or vertigo.
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