Abstract
Reexamination of Human Rabies Case with Long Incubation, Australia
Highlights
To the Editor: Long incubation periods are an occasional feature of infection with rabies virus and should be considered in human cases of acute encephalitis in rabies-free countries where there has been a history of travel to rabies-endemic areas [1]
The first was the discovery of a bat lyssavirus in Australia [4]
We reassessed one of the other virus sequences originally generated from this case with a panel of rabies virus sequences from Southeast Asia, including viruses from Vietnam, China, and examples of Australian bat lyssavirus (ABLV)
Summary
To the Editor: Long incubation periods are an occasional feature of infection with rabies virus and should be considered in human cases of acute encephalitis in rabies-free countries where there has been a history of travel to rabies-endemic areas [1]. In addition to being closely related to rabies virus, Australian bat lyssavirus (ABLV) had been isolated from 2 patients with fatal cases in Australia, one of whom was deduced to have had a potential incubation period of 27 months [5]. The second development was the increase in phylogenetic investigations of rabies viruses in many countries across Asia including Sri Lanka, the Philippines, India, People’s Republic of China [6], Indonesia, and, importantly, Vietnam [7].
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