Tropical Medicine and Infectious Disease (Aug 2020)

A Case of Japanese Encephalitis with a Fatal Outcome in an Australian Who Traveled from Bali in 2019

  • Alyssa T. Pyke,
  • Keat Choong,
  • Frederick Moore,
  • Sanmarié Schlebusch,
  • Carmel Taylor,
  • Glen Hewitson,
  • Jamie McMahon,
  • Neelima Nair,
  • Peter Moore,
  • Mitchell Finger,
  • Peter Burtonclay,
  • Sarah Wheatley

DOI
https://doi.org/10.3390/tropicalmed5030133
Journal volume & issue
Vol. 5, no. 3
p. 133

Abstract

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A severe case of Japanese encephalitis virus (JEV) infection, resulting in fatality, occurred in an unvaccinated Australian male traveler from Bali, Indonesia, in 2019. During hospitalisation in Australia, patient cerebrospinal fluid (CSF) yielded JEV-specific IgM antibodies and RNA, and an isolate of the virus. Ongoing transmission of JEV in Bali underscores this pathogen as a public health risk and the importance of appropriate health, vaccination and mosquito avoidance advice to prospective travelers to the region.

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