MCQ of the DayMCQ of the Day: 31 October 2026 G B4 hours ago4 hours ago01 mins MCQ of the Day: 31 October 2026 1 / 1 In late summer, a 34-year-old man from Kozhikode district, Kerala, presents with fever, headache, altered sensorium and myoclonic jerks, and develops respiratory distress. Two days earlier his brother died of a similar illness, and a nurse who cared for the brother is now febrile. The family often ate fruit picked up from the ground beneath trees in their compound. RT-PCR on throat swab and CSF, performed at the national reference laboratory, detects a paramyxovirus. What is the natural reservoir of this virus? Domestic pigs Pteropus fruit bats Culex mosquitoes Bandicoot rats Answer: B. Pteropus fruit bats. Acute encephalitis with respiratory involvement, high fatality, human-to-human spread to a carer, and a link to fruit contaminated by bat saliva or urine point to Nipah virus (genus Henipavirus, family Paramyxoviridae). Fruit bats of the genus Pteropus are the natural reservoir. Kerala has had repeated outbreaks since 2018, and in Bangladesh and West Bengal infection is linked to drinking raw date palm sap. Diagnosis is by RT-PCR on throat swab, CSF, urine or blood; it is a BSL-4 pathogen, so samples go to the ICMR-NIV, Pune, network. A. Pigs were the amplifying (intermediate) host in the 1998–99 Malaysian outbreak, not the natural reservoir. C. Culex mosquitoes transmit Japanese encephalitis and West Nile viruses; Nipah has no arthropod vector. D. Rodents are reservoirs for leptospirosis, plague and hantaviruses, not henipaviruses. Your score isThe average score is 0% By Wordpress Quiz plugin Further reading (reveals the answer) WHO. Nipah virus fact sheet WHO. Nipah virus infection For educational purposes only; not clinical advice. Post navigation Previous: MCQ of the Day: 30 October 2026Next: Indian Journal Watch: 31 October 2026 Leave a Reply Cancel replyYour email address will not be published. Required fields are marked *Comment * Name * Email * Website Save my name, email, and website in this browser for the next time I comment.