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Rare disease
Severe Crimean–Congo haemorrhagic fever presented with massive retroperitoneal haemorrhage that recovered without antiviral treatment
  1. Mehrnaz Asadi Gharabaghi1,
  2. Sadegh Chinikar2,
  3. Seyyed Mojtaba Ghiasi2,
  4. Maryam Morady2,
  5. Taha Ahmadinejhad1,
  6. Koosha Paydary1
  1. 1Department of Medicine,Imam Khomeini hospital complex, Tehran University of Medical Sciences, Tehran, Iran
  2. 2Virology Department, Arboviruses and Viral Haemorrhagic Fevers Laboratory (National Reference Laboratory), Tehran, Iran
  1. Correspondence to Dr Mehrnaz Asadi, asadi_m{at}tums.ac.ir

Summary

Crimean-Congo haemorrhagic fever (CCHF) is a tickborne viral zoonosis with up to 50% mortality in humans caused by CCHF virus belonging to the genus Nairovirus, family Bunyaviridae. The geographical distribution of CCHF cases corresponds closely with the distribution of principle tick vectors that is species of Hyaloma. The disease presents with non-specific febrile symptoms, but progress to a serious haemorrhagic syndrome that, soon after, a full blown multi organ failure may develop with prominent features of liver damage and bleeding diathesis. The authors present a case of a 39-year-old man with severe CCHF with retroperitoneal haemorrhage that recovered without ribavirin administration. The case was confirmed for CCHF by serological and molecular tests.

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.