Objective: To report a case of acute hepatitis E in Victoria, confirme
d by laboratory investigations. Clinical features: A 10-year-old boy p
resented for medical attention with a seven-day history of anorexia an
d jaundice, 17 days after arriving from Pakistan. The diagnosis of acu
te hepatitis E was suspected after exclusion of the known causes of vi
ral hepatitis, and was further established by specific antibody testin
g and identification of hepatitis E virus-like particles in a faecal s
ample collected three weeks after the onset of illness. Intervention a
nd outcome: The patient was managed at home, treated symptomatically a
nd made a complete recovery. Conclusion: In patients who arrive from c
ountries where hepatitis E is endemic, and who develop non-A, non-B, n
on-C viral hepatitis, hepatitis E should be considered as a possible d
iagnosis.