Crimean Congo Hemorrhagic Fever: Assessment of four mild cases in Kahramanmaras (original) (raw)

Crimean Congo Hemorrhagic Fever (CCHF), usually acquired through a tickle bite, is a viral disease with high mortality and morbidity. Typical symptoms are fever, headache, profound malaise, nausea and hemorrhagic manifestations. In this study, we aim to discuss the clinical features of four patients with CCHF infections diagnosed by ELISA and PCR since 2008 in Kahramanmaras. Three cases were men and one was woman and mean age was 54 (min-max:34 -74). They came from Andirin region of Kahramanmaras city. All of them were farmers and had anamnesis of tick bite. The common symptoms in all cases were fever, headache and nausea. Three cases had bleeding symptoms (each one from the nose, teeth and vagina). The fourth case had no bleeding. Common blood test revealed leukopenia, trombositopenia, and high liver enzymes (ALT, AST). Three patients had elevated Lactic Dehydrogenase and two cases had elevated Creatinin Kinase. Similar medical therapy such as ribavirin, antibiotics, stomach protec...