MCQ of the DayMCQ of the Day: 3 November 2026 G B14 hours ago14 hours ago01 mins MCQ of the Day: 3 November 2026 1 / 1 A 12-year-old boy from a village in Uttar Pradesh is admitted with fever, agitation and episodes of painful pharyngeal spasm whenever he is offered water. His mother recalls that a stray dog bit him on the leg about six weeks earlier; the wound was washed at home but no further treatment was sought. He deteriorates rapidly and dies. At autopsy, brain sections from the hippocampus (Ammon's horn) and the cerebellar Purkinje cells show sharply defined, round to oval, eosinophilic intracytoplasmic inclusions containing small basophilic granules. What are these inclusions called? Guarnieri bodies Councilman bodies Negri bodies Henderson-Patterson bodies Hydrophobia following an untreated dog bite is classic encephalitic (furious) rabies, caused by rabies virus (genus Lyssavirus, family Rhabdoviridae); India carries a large share of the world's rabies deaths. Negri bodies are eosinophilic intracytoplasmic inclusions made of viral nucleocapsid aggregates, best seen in hippocampal pyramidal neurones and cerebellar Purkinje cells, with characteristic inner basophilic granules. They are pathognomonic but absent in a proportion of cases, so the direct fluorescent antibody test on brain tissue is the reference diagnostic method, and RT-PCR on saliva or nuchal skin biopsy is used ante-mortem. A (Guarnieri bodies): eosinophilic intracytoplasmic inclusions of poxviruses (vaccinia, variola) in epithelial cells, not neurones. B (Councilman bodies): apoptotic, eosinophilic hepatocytes seen in yellow fever and viral hepatitis. D (Henderson-Patterson bodies): large intracytoplasmic inclusions in keratinocytes in molluscum contagiosum. Your score isThe average score is 0% By Wordpress Quiz plugin Further reading (reveals the answer) WHO. Rabies fact sheet Hemachudha T, et al. Human rabies: neuropathogenesis, diagnosis, and management. Lancet Neurol 2013 Fooks AR, et al. Current status of rabies and prospects for elimination. Lancet 2014 For educational purposes only; not clinical advice. Views 6 Post navigation Previous: MCQ of the Day: 2 November 2026Next: Indian Journal Watch: 3 November 2026 Leave a Reply Cancel replyYour email address will not be published. Required fields are marked *Comment * Name * Email * Website Save my name, email, and website in this browser for the next time I comment.