Flexman J P, Smith D W, Mackenzie J S, Fraser J R, Bass S P, Hueston L, Lindsay M D, Cunningham A L
Royal Perth Hospital, WA.
Med J Aust. 1998 Aug 3;169(3):159-63. doi: 10.5694/j.1326-5377.1998.tb116019.x.
Barmah Forest virus (BFV) and Ross River virus (RRV) are mosquito-borne viruses with similar vectors and environmental requirements. They cause diseases characterised by arthralgia, arthritis and myalgia, often accompanied by fever and rash. Arthritis is more common and more prominent in RRV disease and rash is more common and florid with BFV infection, although the diseases cannot be reliably distinguished by their clinical symptoms. Diagnosis is based on serological tests and a definite diagnosis of recent infection requires the demonstration of rising titres of IgG. Arthralgia, myalgia and lethargy may continue for at least six months in up to half of patients with RRV, but in only about 10% of patients with BFV. Both diseases are managed symptomatically.
巴马森林病毒(BFV)和罗斯河病毒(RRV)是由蚊子传播的病毒,它们具有相似的传播媒介和环境条件。它们引起的疾病特征为关节痛、关节炎和肌痛,常伴有发热和皮疹。关节炎在RRV疾病中更为常见且更为突出,而皮疹在BFV感染中更为常见且更为明显,尽管无法通过临床症状可靠地区分这两种疾病。诊断基于血清学检测,近期感染的确切诊断需要证明IgG滴度升高。在多达一半的RRV患者中,关节痛、肌痛和嗜睡可能会持续至少六个月,但在BFV患者中只有约10%会出现这种情况。两种疾病均采用对症治疗。