The first symptoms of rabies may be very similar to those of the flu, including general weakness or discomfort, fever, or headache. These symptoms may last for days. There may be also discomfort or a prickling or itching sensation at the site of bite, progressing within days to symptoms of cerebral dysfunction, anxiety, confusion, and agitation. At the onset of these progressive symptoms, the disease begins to worsen. As the disease progresses, the person may experience delirium, abnormal behavior, hallucinations, and insomnia. Rabies virus may also be inactive in its host's body and become active after a long period of time. The incubation period for this virus, in some cases, can last anywhere from weeks to months. This does not depend on specific form of the virus. This long incubation period is most likely due to the presence of
microRNA, which slow down viral replication in the muscles. However, when the patient starts to exhibit prodromal symptoms (fever, flu) and gastrointestinal symptoms, the virus has widely spread. Prodromal symptoms are noted within the first 2–10 days after incubation and include
fever and fatigue. They can also involve the
respiratory system, causing sore throat and cough, the gastrointestinal system, causing anorexia, nausea, vomiting, abdominal pain, diarrhea, and central nervous system. The central nervous system is the most prevalent in some cases and includes symptoms like headache, vertigo, anxiety, nightmares, depression, and more. The neurological dysfunction starts when the central nervous system begins to slow and not function properly. Despite
hydrophobia being one of the most well-known symptoms, rabies does not cause a fear of water specifically. It causes painful spasms of throat muscles that cause swallowing water to become painful, and damage to the brain prevents the patient from differentiating between water and pain, leading to a
fear of water that is more akin to a fear of swallowing. Rabies can also cause
anemophobia. == Classification and antigenic types ==