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Transcript
Ross River Fever and Barmah Forest Disease Background Ross River Fever and Barmah Forest Virus are two similar viral illnesses transmitted by mosquitoes Characterised by fever, rash and joint pains They can occur in epidemics associated with proliferation of mosquitoes The incubation period is between 3–11 days Ross River Fever does cause significant arthralgia for several months in a number of patients, most usually recover in 4-7 months Related topics: Upper respiratory tract infection, page 227 1. May present with: Common viral symptoms – fever, chills, headache, off food, nausea and malaise There may also be preceding URTI symptoms – nasal discharge, sore throat, cough Joint symptoms of pain and stiffness - any joint may be affected though most commonly the ankles, knees, fingers, wrists and elbows Joint swelling in more severe cases Rash – may or may not be present, transient, usually maculopapular and not itchy 2. Immediate management – not applicable 3. Clinical assessment: Obtain complete patient history Perform standard clinical observations Inspect and palpate joints for swelling, heat and redness 4. Management: Consult MO who may advise: taking blood for viral serology (state which virus testing for on request form) non-steroidal anti-inflammatory drug (NSAID) to relieve symptoms 5. Follow up: Serology may need to be repeated in 14 days to confirm diagnosis See next MO clinic Prevention: Take precautions against being bitten by mosquitoes 6. Referral / Consultation: Consult MO on all occasions of suspected Ross River Fever or Barmah Forest Virus See Queensland Health Fact Sheets http://access.health.qld.gov.au/hid/InfectionsandParasites/ViralInfections/rossRiverVirus_fs.asp http://access.health.qld.gov.au/hid/InfectionsandParasites/ViralInfections/barmahForestVirus_fs.asp