Rabies: A second Australian case, with a long incubation period

P. J. Grattan-Smith*, W. J. O'Regan, P. S J Ellis, S. J. O'Flaherty, P. B. McIntyre, C. J. Barnes

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

25 Citations (Scopus)


Objective: The description of a second case of rabies in Australia, stressing the clinical features and that long incubation periods are possible. Clinical features: A 10-year-old Vietnamese girl presented with fever, shoulder pain, subcutaneous emphysema, swallowing difficulty and agitation. After a period of maniacal behaviour all peripheral and central nervous system function was lost. Intervention and outcome: Despite maximal intensive care the patient died. The diagnosis of rabies was made at autopsy. Conclusions: Rabies occurs in Australia and needs to be considered in the differential diagnosis of acute encephalitis and/or the Guillain-Barre syndrome. Incubation periods of more than six years can occur.

Original languageEnglish
Pages (from-to)651-654
Number of pages4
JournalMedical Journal of Australia
Issue number9
Publication statusPublished - 1992
Externally publishedYes


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