Clinical and laboratory findings of patients with Crimean-Congo hemorrhagic fever in the emergency department at hospital admission

Year 2011, Volume: 1 Issue: 01, 1 - 4, 01.03.2011

İbak Gönen

https://doi.org/10.5799/ahinjs.02.2011.01.0001

Abstract

Objectives: The aim of this study was to evaluate clinical and laboratory features of CCHF cases on admission to the emergency department. Materials and methods: Clinical and laboratory features of CCHF cases which applied to the emergency department of a district general hospital (Erbaa, Tokat Province) between the period of 2008 and 2010 were retrospectively assessed. Results: Totally 15 cases were included in the study. Most of the patients applied with non-specific symptoms, some of them admitted with atypical symptoms such as abdominal pain and hematemesis. In three patients, all laboratory findings at admission were within normal limits. Conclusions: Although, CCHF patients apply to hospital with nonspecific symptoms, some may have atypical symptoms like severe abdominal pain and hematemesis. Moreover, some may have normal leukocyte and platelet counts on admission. Therefore, for early diagnosis, physicians should have knowledge about the various clinical symptomatology of CCHF.

Keywords

CCHF, emergency department, early diagnosis, clinical and laboratory findings

Clinical and laboratory findings of patients with Crimean-Congo hemorrhagic fever in the emergency department at hospital admission

Abstract

Keywords

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References

• Peters CJ, California encephalitis, hantaa virus pulmonary syndrome, bunyavirid hemorrhagic fevers. In, Mandell GL, Bennet JE, Dolin R eds. Principles and practice of infectious diseases. 5th ed. New York Churchill Livingstone, 2000: 1849-1855.
• Bodur H. Kırım-Kongo kanamalı Ateşi. In Symposium book of ‘ Istanbul Universitesi Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri’ No:55, 2007:267-277.
• Ergonul O. Crimean-Congo Hemorrhagic Fever. Lancet Infect Dis 2006; 6:203-214.
• Karti S, Odabaşı Z, Korten V, Yılmaz V, et al. Crimean Congo Hemorrhagic Fever in Turkey. Emerg Infect Dis 2004;10: 1379-1384.
• Elaldı N. Klinik ve epidemiyolojik olarak KKKA hastalığında son durum. In; Symposium book of ‘3. Türkiye Zoonotik En- feksiyonlar’, Ankara 2010, 89-97.
• Pelitli SM. Dünden bugüne KKKA. In; Symposium book of ‘3. Türkiye Zoonotik Enfeksiyonlar’, Ankara 2010, 98-103.
• Ergönül Ö. Türkiye’de ve Dünyada Kırım-Kongo kanamalı ate- şi. In Congrees book of KLİMİK 2009, 127-137.
• Cevik MA. Crimean-Congo Hemorrhagic Fever: Clinical Fea- tures. Klimik Derg 2004;17:59-61.
• Celikbaş A, Ergönül O, Dokuzoğuz B, Eren S, Baykam N, Po- lat-Düzgün A. Crimean-Congo hemorrhagic infeciton simu- lating ace apendicitis. J Infect 2005;50:363-365.
• Elaldı N. Epidemiolgy of Crimean Congo Hemorrhagic Fever. Klimik Derg 2004;17:151-156.
• Bakır M, Ugurlu M, Dokuzoguz B, Bodur H, Taşyaran MA, Vahaboğlu H. Crimean-Congo hemorrhagic fever otbreak in Middle Anatolia: a multicentre study of clinical feautures and outcome measures. J Med Microbiol 2005;54:385-389.
• Kara A. Crimean-Congo Hemorrhagic Fever. Türk Ped Arch 2008;43:108-118
• Bakır M, Elaldı N. Crimean-Congo Hemorrhagic Fever. ANKEM Derg 2006;20:227-231.
• Oztürk DB, Kuşçu F, Gürbüz Y, Gül S, Tütüncü ED, Şencan İ. Eveulation of 20 CCHF cases during 2006-2007 years. Kli- mik Derg 2008;21:93-96.