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Australian Viral Encephalitides

05 November 2004

Clinical and epidemiological features of emerging viral infections in Australia

Virus

Epidemiological clues

Clinical features

Key investigations

Prevention


Hendra

Contact with fruit bats or horses in eastern Australia or Papua New Guinea

Flu-like illness, pneumonia, encephalitis

Hendra virus antibodies in serum

Avoid contact with fruit bats or sick horses in endemic areas

Menangle

Contact with stillborn piglets and bats in New South Wales

Flu-like illness, rash

Menangle virus antibodies in serum

Avoid contact with piglets or fruit bats in endemic areas

Nipah

Contact with pigs in Malaysia or Singapore

Flu-like illness, pneumonia, encephalitis

Nipah virus antibodies in serum

Avoid contact with pigs in endemic areas

Australian bat lyssavirus (ABL)

Contact with bats in Australia

Similar to rabies: acute, progressive neurological disorder

Polymerase chain reaction tests of cerebrospinal fluid ± lyssavirus antibodies in serum
Examination of bat brain tissue

Avoid contact with bats; immunoprophylaxis

Murray Valley encephalitis (MVE)

Residence in northern Australia or Papua New Guinea, especially during wet season (February to July)

Acute febrile illness, encephalitis

MVE antibodies in serum

Mosquito avoidance measures

Kunjin

Residence in Australia (particularly northern Australia), especially during wet season (February to July)

Acute febrile illness, polyarthralgia, and (rarely) encephalitis

Kunjin antibodies in serum

Mosquito avoidance measures

Japanese encephalitis (JE)

Residence in South-East or East Asia, Indian subcontinent or Torres Strait; exposure to domestic birds and animals, especially pigs

Flu-like illness, encephalitis

JE antibodies in serum or cerebrospinal fluid

Mosquito avoidance measures; JE vaccine if intend to travel to endemic areas for longer than 30 days

Joseph G McCormack and Anthony M Allworth Emerging viral infections in Australia Med J Aust 2002; 177 (1): 45-49