Human infection with avian influenza (H7N9) virus was first reported from China in 2013 (1). Since then, ≈400 cases have been diagnosed in China and some in Hong Kong and Taiwan. Most patients were older adults with severe community-acquired pneumonia; risk for admission to an intensive care unit is 83%, and risk for death is 27%–36% (2,3). We report avian influenza (H7N9) virus infection outside greater China, in a Chinese tourist visiting Sabah, Malaysia.