Editor,—We wish to report on a patient with rapidly fatal rabies who presented to our accident and emergency department.This is the only reported fatality from this disease in the United Kingdom since 1988.With increasing worldwide travel, rabies has the potential to present to hospitals in the United Kingdom. Awareness of this condition is required, particularly when assessing an unusual illness in a patient who has recently been in a rabies endemic zone.

An 18 year old Nigerian student, who had returned …