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Case report
Crimean-Congo haemorrhagic fever presenting with acute compartment syndrome of the extremities (think beyond normal infections)
  1. Ishma Aijazi1,
  2. Fadhil Mustafa Abdulla Al Shama1,
  3. Yaseen Shandala2 and
  4. Rupa Murthy Varghese3
  1. 1Internal Medicine, Dubai Hospital, Dubai, United Arab Emirates
  2. 2Orthopedic Department, Dubai Health Authority, Dubai, United Arab Emirates
  3. 3Virology, Dubai Health Authority, Dubai, United Arab Emirates
  1. Correspondence to Dr Ishma Aijazi; engrjaffar{at}gmail.com

Abstract

Crimean-Congo haemorrhagic fever (CCHF) is a viral zoonosis transmitted to humans and animals (which act as a reservoir) through the bite of a ‘Hyalomma’ tick. CCHF virus belongs to the genus Nairovirus. Humans are infected when they come in direct contact with the blood or secretions of infected livestock or other infected humans. This disease initially presents with non-specific febrile symptoms common to many viral illnesses and later progresses to disseminated intravascular coagulation (DIC) with haemorrhagic manifestations.

We present the case of a middle-aged man with CCHF. He presented to the hospital with DIC and acute compartment syndrome in the right forearm, requiring urgent orthopaedic intervention. The diagnosis was delayed because there was no clear history of contact. The patient was started taking ribavirin on the fifth day of hospital admission. He recovered fully.

  • infectious diseases
  • surgery
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Footnotes

  • Contributors IA: the lead author with substantial contributions to the conceptual and design of the case report especially drafted the introduction and discussion section. FMAAS: agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. RMV: final approval of the version published. YS: drafting the work or revising it critically for important intellectual content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Next of kin consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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