<p>A 19-year-old male seen twice at Ongwediva Health Center was initially diagnosed with a musculoskeletal disorder. Later complained of a painful right leg, confusion, and vomiting, subsequently referred to IHO and admitted with a diagnosis of suspected Bacterial Meningitis, Acute Disseminated Encephalomyelitis, and to rule out rabies. No history of animal bite was established, but rabies was confirmed on 28 April 2023 and the patient died. A total of 194 animal bites and scratches (1 January – 31 May 2023) and five rabies deaths (1 January 22- 30 April 2023) were recorded, with all clients started on anti-rabies post-exposure prophylaxis (PEP). A total of 80 contacts (14 relatives and 66 Health Care Workers (HCWs) were identified and put on PEP against rabies. Health education on preventative measures was given to the community. The veterinary officers were informed about the case for further investigation and action.</p>