Selden, S M, Cameron, A S · The Medical journal of Australia · 1996 · DOI
This study followed people in South Australia who had Ross River virus (RRV) infections to see how long symptoms lasted. Researchers found that more than half of patients still had joint pain and tiredness 15 months after infection, with similar patterns continuing for 30 months. The symptoms were very disabling for many people and resembled chronic fatigue syndrome.
This study is important because it documents that some viral infections can cause prolonged, disabling symptoms similar to ME/CFS that persist for months to years. Understanding post-viral fatigue syndromes and factors predicting recovery can help researchers identify mechanisms relevant to ME/CFS pathogenesis and may guide patient management strategies.
This study does not prove that Ross River virus causes ME/CFS or that all ME/CFS cases originate from viral infection. The study is descriptive and cannot establish causal mechanisms for persistent symptoms, nor can it determine whether RRV post-viral syndrome is mechanistically identical to idiopathic ME/CFS.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Selden, S M & Cameron, A S (1996). Changing epidemiology of Ross River virus disease in South Australia.. The Medical journal of Australia. https://doi.org/10.5694/j.1326-5377.1996.tb124989.x
BibTeX
@article{mecfsatlas-selden-1996-changing-epidemiology,
author = {Selden, S M and Cameron, A S},
title = {Changing epidemiology of Ross River virus disease in South Australia.},
journal = {The Medical journal of Australia},
year = {1996},
doi = {10.5694/j.1326-5377.1996.tb124989.x},
note = {PubMed: 8862330},
url = {https://www.mecfsatlas.com/evidence/selden-1996-changing-epidemiology},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-29. https://www.mecfsatlas.com/evidence/selden-1996-changing-epidemiology
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