Jp. Flexman et al., A COMPARISON OF THE DISEASES CAUSED BY ROSS RIVER VIRUS AND BARMAH FOREST VIRUS, Medical journal of Australia, 169(3), 1998, pp. 159-163
Barmah Forest virus (BFV) and Ross River virus (RRV) are mosquito-born
e viruses with similar vectors and environmental requirements. They ca
use diseases characterised by arthralgia, arthritis and myalgia, often
accompanied by fever and rash. Arthritis is more common and more prom
inent in RRV disease and rash is more common and florid with BFV infec
tion, although the diseases cannot be reliably distinguished by their
clinical symptoms. Diagnosis is based on serological tests and a defin
ite diagnosis of recent infection requires the demonstration of rising
titres of IgG. Arthralgia, myalgia and lethargy may continue for at l
east six months in up to half of patients with RRV, but in only about
10% of patients with BFV. Both diseases are managed symptomatically.