Crimean Congo Hemorrhagic Fever: A Case Report

Crimean-Congo Hemorrhagic Fever (CCHF) is a viral infection more frequently described during recent years in our country, and has a high mortality rate. A 13-year-old boy was admitted to the hospital with a history of fever, malaise, chills, headache, muscle and back pains, fatigue and vomiting. Physical examination revealed a petechial rash on his legs and soft palate with petechial haemorrhages into the skin. Laboratory findings showed elevated liver enzymes, prolonged phrothrombin time and thrombocytopenia. His history indicated contact with livestock. Based on the clinical and laborotary findings, CCHF virus infection was suspected. The diagnosis of CCHF was confirmed by enzyme-linked immunosorbent assay tests. He recovered completely with ribavirine therapy for 7 days. In conclusion, CCHF should be considered in the differential diagnosis of patients who have contact with livestock and present with fever, fatigue, rash, elevated liver enzymes, thrombocytopenia and prolonged prothrombin time.