All ruminants can be infected by the Bluetongue virus (BTV). Not all infected animals show clinical signs. The most severe clinical signs are usually seen in sheep. Even in sheep, a relatively low proportion of viraemic sheep develop clinical signs.
Severity of clinical signs can vary from asymptomatic or mild to severe depending on:
Bluetongue virus infection is manifested as a vascular disease affecting several organ systems and often presents as a reproductive syndrome. BTV infection may resemble Foot-and-Mouth-Disease, especially in the later stages.
Clinical signs of bluetongue are:
BTV infection of pregnant cattle can cause infertility, foetal mummification, abortion and still born calves
In sheep, cases of abortion and foetal malformations due to BT occur sporadically. Abortions are rare compared to congenital abnormalities; however many abortions will be non-specific and a direct stress-related consequence of the systemic infection of the ewe.

Oedema and hyperaemia (swelling and redness) of the udder caused by severe sunburn-like lesions.

Lesions in the mouth of a cow infected with BTV

Lesions on the muzzle and a mucopurulent (snotty) nasal discharge.

Lachrymation, hyperaemia and oedema (weeping, redness and swelling) of conjunctiva.