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Volume 11, Number 3—March 2005

Dispatch

Hepatitis E Infections, Victoria, Australia

Benjamin C. Cowie*‡, Jim Adamopoulos†, Karen Carter†, and Heath Kelly‡
Author affiliations: *Royal Melbourne Hospital, Parkville, Victoria, Australia; †Department of Human Services, Melbourne, Victoria, Australia; ‡Victorian Infectious Diseases Reference Laboratory, North Melbourne, Victoria, Australia

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Table

Clinical and epidemiologic information on Victorian hepatitis E case-patients January 1 to June 30, 2004

Age Sex Symptoms Onset date* Date of test Countries visited during incubation period Duration of visit Comments
51 F Jaundice, dark urine 01/04/04 01/11/04 India NA Indian resident recently arrived in Australia.
26 M Fever, jaundice, dark urine, nausea, vomiting 02/13/04 03/01/04 India, Sri Lanka, Thailand, Singapore 20 weeks, 2 weeks Thailand and Singapore were overnight stopovers only.
18 M Jaundice 02/18/04 03/02/04 India 4 weeks Did not make contact with DHS.† Information provided by doctor. Patient HBcAb+.‡
28 F Fever, jaundice, dark urine 02/21/04 02/24/04 India 7 weeks
20 F Jaundice, dark urine, abdominal pain, nausea 03/13/04 03/23/03 India, Thailand, China 11 weeks, 2 days, 5 weeks Worked in a Children's Hospital in India.
22 M Jaundice, dark urine, abdominal pain, vomiting, diarrhea 03/25/04 03/25/04 India NA Indian resident recently arrived in Australia.
41 M Dark urine, fever, abdominal pain, nausea, vomiting, diarrhea, headache, myalgia 05/06/04 05/06/04 Thailand 3 weeks Reported swimming in a lake that locals warned was polluted.
60 F Fever, dark urine, abdominal pain, nausea, diarrhea, headache, myalgia 05/13/04 05/26/04 Vietnam 13 weeks Worked in an orphanage in Vietnam.
45 M Jaundice, nausea 05/19/04 05/19/04 India 12 weeks
28 M None NA 06/24/04 No recent travel history NA Last traveled to disease-endemic area, Pakistan, in 2001.
Tested for hepatitis E (amongst other investigations) by local doctor because of mild liver function test abnormalities.

*Date of first appearance of jaundice or dark urine.
†Department of Human Services.
‡Hepatitis B core antibody positive.

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