Crimean‐Congo hemorrhagic fever with hyperbilirubinemia and ascites: An unusual presentation

Türe, Zeynep; Kılıç, Ayşegül Ulu; Çelik, İ̇lhami; Tok, Tuğba Taşkın; Yağcı-Çağlayık, Dilek

doi:10.1002/jmv.24295

Cited by 8 publications

(6 citation statements)

References 17 publications

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“…Although it remains unclear whether the viruses described in this study are actually transmitted by ticks, the detection of CCHFV, RVFV, CHIKV, SINDBIS, and AlKV using RT-PCR from some species of ticks supports the hypothesis of arboviruses replication in at least three of the four tick species and coincides with previous studies conducted in Asia [26,30,31].…”

Section: Discussionsupporting

confidence: 90%

“…A range of disease from mild to severe clinical illness occurs in human. In severe cases, petechial rash on the trunk and limbs, besides the appearance of hemorrhage from the body cavities are among the common clinical symptoms of the disease [26,27]. The approximate mortality rate of 22% has been reported in CCHF cases infected by a tick bite [28].…”

Section: Discussionmentioning

confidence: 99%

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Investigation of hemorrhagic fever viruses inside wild populations of ticks: One of the pioneer studies in Saudi Arabia

Mohamed¹,

Mohamed²,

Aleanizy³

et al. 2017

APJTD

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Investigation of hemorrhagic fever viruses inside wild populations of ticks: One of the pioneer studies in Saudi Arabia

Mohamed¹,

Mohamed²,

Aleanizy³

et al. 2017

APJTD

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“…The incubation period in our case was 4 days. After a short incubation, CCHF was characterized by the systemic symptoms such as fever, hemorrhage, headache, fatigue, muscle ache, abdominal pain, nausea, and vomiting [ 10 ]. Hemorrhage develops at various parts of the body [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Crimean-Congo hemorrhagic fever with hepatic impairment and vaginal hemorrhage: a case report

et al. 2018

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BackgroundCrimean-Congo hemorrhagic fever is a tick-borne disease described in more than 30 countries in Europe, Asia, and Africa. Albania is located in the southwestern part of the Balkan Peninsula. In 1986, the first case of Crimean-Congo hemorrhagic fever was registered, and cases of patients with hemorrhagic fever are rising, and most of them present in a serious condition, when the mortality rate is very high. In districts like Mirdite, Lezhe, Gjirokaster, Skrapar, Erseke, and Kukes, there is delineated human-to-human transmission.Case presentationWe report the case of a 32 year-old Albanian woman from a rural area of Albania. She was hospitalized at the Infectious Diseases Service, for a severe influenza-like illness of 4 days duration. Our patient had been bitten by a tick while working in her garden. She presented with nausea, vomiting, headache and muscle pain. A physical examination found a high fever of 40 °C, an enlarged liver, petechia, and vaginal bleeding; flapping tremor and fetor hepaticus were found as a sign for hepatic encephalopathy; and confusion and disorientation were observed in her neurological examination. Her platelet and white blood cell counts were very low, while her aspartate aminotransferase and alanine aminotransferase levels were very high. She was transferred to the intensive care unit because of her worsening condition. Serological and C-reactive protein test results for Crimean-Congo hemorrhagic fever were positive. She was treated with oral ribavirin and discharged with normal parameters.ConclusionsPeople in high-risk professions in the endemic areas should be informed and trained on the risk of Crimean-Congo hemorrhagic fever as a matter of urgency. Vaginal bleeding is not always a gynecological problem. In Albania, these places are the mountainous areas, so people who have traveled to these areas and who have symptoms after a tick bite are advised to contact their doctors.

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“…In severe cases, hemorrhagic manifestations are observed; these include petechiae, ecchymosis, epistaxis, pulmonary hemorrhage, intra‐abdominal bleeding, hematuria, melena, and vaginal bleeding 2 . However, other than fever and bleeding complications, cases with atypical presentations have also been reported 4,5 …”

Section: Introductionmentioning

confidence: 99%

A case of Crimean Congo hemorrhagic fever complicated with acute pulmonary embolism

Türe

Ünüvar

2020

Journal of Medical Virology

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Background Crimean‐Congo hemorrhagic fever (CCHF) is one of the common causes of tick‐borne hemorrhagic infections. The study aims to report a case of a female patient with severe CCHF with pulmonary embolism. Case report A 61‐year‐old woman admitted to the emergency department with complaints of high fever, nausea, and weakness. The patient was dealing with animal husbandry and had a tick bite history. At laboratory findings, bicytopenia, abnormal liver function tests, and elevated coagulation parameters were observed. Real‐time plymerase chain reaction confirmed the diagnosis of CCHF. Three sessions of plasmapheresis were performed due to continued fever and worsening in laboratory values. Pulmonary embolism was detected in computerized thorax tomography carried out due to respiratory alkalosis on the 6th day. She was successfully treated with supportive and anticoagulation therapy. Conclusion CCHF demonstrates different types of clinical presentations apart from fever and hemorrhage. Acute pulmonary embolism is a rare complication that has not been reported before.

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Crimean‐Congo hemorrhagic fever with hyperbilirubinemia and ascites: An unusual presentation

Cited by 8 publications

References 17 publications

Investigation of hemorrhagic fever viruses inside wild populations of ticks: One of the pioneer studies in Saudi Arabia

Investigation of hemorrhagic fever viruses inside wild populations of ticks: One of the pioneer studies in Saudi Arabia

Crimean-Congo hemorrhagic fever with hepatic impairment and vaginal hemorrhage: a case report

A case of Crimean Congo hemorrhagic fever complicated with acute pulmonary embolism

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