Case Series of Crimean–Congo Disease: an Outbreak in South of Fars, Iran

BACKGROUND AND OBJECTIVE: Iran is one of the endemic regions of Crimean Congo hemorrhagic fever (CCHF). The most common route for transmission is contaminated pets in this region. This disease is associated with high mortality rate. This article is a report of an outbreak of this disease in Jahrom (...

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Autores principales: R Raoofi, M Pourahamad, MR Nazer, Y Pournia, S Chinikar
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Publicado: Babol University of Medical Sciences 2012
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spelling oai:doaj.org-article:e4a03a7843704028820b1c7227632d922021-11-10T08:53:27ZCase Series of Crimean–Congo Disease: an Outbreak in South of Fars, Iran1561-41072251-7170https://doaj.org/article/e4a03a7843704028820b1c7227632d922012-09-01T00:00:00Zhttp://jbums.org/article-1-4180-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Iran is one of the endemic regions of Crimean Congo hemorrhagic fever (CCHF). The most common route for transmission is contaminated pets in this region. This disease is associated with high mortality rate. This article is a report of an outbreak of this disease in Jahrom (a city in the south of Fars in Iran).CASES: The first and second patients were two young brothers aged 23 and 26, with a history of butchering from Banarouyeh (a village in the south of Fars-Iran). These patients were referred to Peymanieh hospital in Jahrom after the death of a woman who was in their neighborhood. The cause of her death was coagulation disorders. They had history of contact with infected animals in the days before the onset of symptoms. Symptoms in these patients were fever, weakness, lethargy, drowsiness, melena, bloody vomiting, and productive cough. The third patient was a young person who was the nephew of the mentioned patients. He had a history of contact with these patients and eating contaminated meat. He came with flu-like symptoms, without any symptoms of bleeding. The fourth patient was a health care worker, who had contact with these patients. She also came with flu-like symptoms and then developed hemorrhagic disorders and alveolar hemorrhagic pneumonia. Serology and RT-PCR for CCHF was positive in all of these patients. They responded to Ribavirin and supportive therapy. CONCLUSION: Iran is an endemic region of CCHF. So outbreak of the disease may happen every time. High mortality rate of this disease shows the importance of the knowledge about this disease. It also is necessary to emphasize for being more careful in contact with patients with CCHF in community and hospitals. In addition we should try to improve public information about this disease to prevent it better.R Raoofi,M Pourahamad,MR Nazer,Y Pournia,S ChinikarBabol University of Medical Sciencesarticlehaemorrhagic fevercrimean-congovirusoutbreakMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 14, Iss 5, Pp 96-100 (2012)
institution DOAJ
collection DOAJ
language EN
FA
topic haemorrhagic fever
crimean-congo
virus
outbreak
Medicine
R
Medicine (General)
R5-920
spellingShingle haemorrhagic fever
crimean-congo
virus
outbreak
Medicine
R
Medicine (General)
R5-920
R Raoofi,
M Pourahamad,
MR Nazer,
Y Pournia,
S Chinikar
Case Series of Crimean–Congo Disease: an Outbreak in South of Fars, Iran
description BACKGROUND AND OBJECTIVE: Iran is one of the endemic regions of Crimean Congo hemorrhagic fever (CCHF). The most common route for transmission is contaminated pets in this region. This disease is associated with high mortality rate. This article is a report of an outbreak of this disease in Jahrom (a city in the south of Fars in Iran).CASES: The first and second patients were two young brothers aged 23 and 26, with a history of butchering from Banarouyeh (a village in the south of Fars-Iran). These patients were referred to Peymanieh hospital in Jahrom after the death of a woman who was in their neighborhood. The cause of her death was coagulation disorders. They had history of contact with infected animals in the days before the onset of symptoms. Symptoms in these patients were fever, weakness, lethargy, drowsiness, melena, bloody vomiting, and productive cough. The third patient was a young person who was the nephew of the mentioned patients. He had a history of contact with these patients and eating contaminated meat. He came with flu-like symptoms, without any symptoms of bleeding. The fourth patient was a health care worker, who had contact with these patients. She also came with flu-like symptoms and then developed hemorrhagic disorders and alveolar hemorrhagic pneumonia. Serology and RT-PCR for CCHF was positive in all of these patients. They responded to Ribavirin and supportive therapy. CONCLUSION: Iran is an endemic region of CCHF. So outbreak of the disease may happen every time. High mortality rate of this disease shows the importance of the knowledge about this disease. It also is necessary to emphasize for being more careful in contact with patients with CCHF in community and hospitals. In addition we should try to improve public information about this disease to prevent it better.
format article
author R Raoofi,
M Pourahamad,
MR Nazer,
Y Pournia,
S Chinikar
author_facet R Raoofi,
M Pourahamad,
MR Nazer,
Y Pournia,
S Chinikar
author_sort R Raoofi,
title Case Series of Crimean–Congo Disease: an Outbreak in South of Fars, Iran
title_short Case Series of Crimean–Congo Disease: an Outbreak in South of Fars, Iran
title_full Case Series of Crimean–Congo Disease: an Outbreak in South of Fars, Iran
title_fullStr Case Series of Crimean–Congo Disease: an Outbreak in South of Fars, Iran
title_full_unstemmed Case Series of Crimean–Congo Disease: an Outbreak in South of Fars, Iran
title_sort case series of crimean–congo disease: an outbreak in south of fars, iran
publisher Babol University of Medical Sciences
publishDate 2012
url https://doaj.org/article/e4a03a7843704028820b1c7227632d92
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AT ypournia caseseriesofcrimeancongodiseaseanoutbreakinsouthoffarsiran
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