Plasma Exchange an Effective Measure in Rabies Vaccine Induced Acute Disseminated Encephalomyelitis

We describe a case of a 57 year of patient who had a history of dog bite and then was subsequently vaccinated with anti-rabies vaccine of 2 doses.She developed lower limb weakness and areflexia and was intubated after going into respiratory distress.She was given IV immunoglobulin, methyl prednisolone and then underwent seven cycles after which she showed improvement.