患者男性，34岁，农民。发病前曾密切接触过疯狗。一次夜间遗精后，在清醒状态下反复发生阴茎疼痛一动起一射精一阴茎疲软，伴双大腿内侧奇痒而无皮疹。入院第2天阴茎勃起、射精次数明显减少，但出现狂犬病的典型临床表现。入院第3天晚上出现四肢瘫痪，死于呼吸循环衰竭。具有 Male patient, 34 years old, farmer. Before the onset of close contact with mad dogs. After a nocturnal emission, in the awake state repeated penile pain, a erection of a penile weakness, accompanied by bilateral itchy thigh no rash. Penis erection on the second day of admission, the number of ejaculation significantly reduced, but the typical clinical manifestations of rabies. Paralysis of the limbs occurred on the third night of admission and died of respiratory failure. have