Question:

A fruit farmer presents with fever, respiratory difficulties, and neurological complications. What is the most likely diagnosis? 

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In regions with fruit bats, consider Nipah virus if the patient presents with fever, respiratory distress, and neurological symptoms like encephalitis.
Updated On: Apr 24, 2025
  • Ebola
  • Meningitis
  • Nipah
  • Zika
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The Correct Option is C

Solution and Explanation

The most likely diagnosis in this case is Nipah virus infection. Nipah virus is transmitted to humans through infected bats, which are often found in fruit orchards, making fruit farmers particularly vulnerable. The disease presents with a combination of fever, respiratory difficulties, and neurological complications such as encephalitis, which is characteristic of Nipah virus infection. This virus has a high mortality rate and requires immediate medical intervention.
- Ebola also causes fever and respiratory issues but is not typically associated with neurological symptoms early in the infection, and it is more commonly associated with outbreaks in specific regions.
- Meningitis can present with fever and neurological symptoms, but it is usually not associated with respiratory symptoms in this combination.
- Zika typically presents with fever, rash, and joint pain, and does not generally cause respiratory symptoms or encephalitis.
Nipah virus should be considered when there is a history of exposure to fruit bats or their secretions.
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