The most important clinical and pathological manifestation of Hendra virus
infection in horses and humans is that of severe interstitial pneumonia cau
sed by viral infection of small blood vessels. The virus is also capable of
causing nervous disease. Hendra virus is not contagious in horses and is s
pread by close contact with body fluids, such as froth from infected lungs.
Diagnosis should be based on the laboratory examination of blood, lung, ki
dney, spleen, and, if nervous signs are present, also of the brain. Evidenc
e of infection with the more recently identified and related Nipah virus wa
s found in the brain of one horse in which there was inflammation of the me
ningeal blood vessels. Fruit bats, especially Pteropus s., have been incrim
inated as the natural and reservoir hosts of both Hendra and Nipah viruses.