title: Crimean Congo hemorrhagic fever infection simulating acute appendicitis.
abstract: An unusual cause of acute abdominal pain simulating acute appendicitis is presented. The patient was admitted with complaints of fever, malaise, headache, nausea, vomiting, diarrhoea, and severe bleeding. Based on the clinical and epidemiological findings, a diagnosis of Crimean Congo hemorrhagic fever virus infection was suspected, and ribavirin therapy was started. While her clinical condition was improving, she experienced a sudden pain at her right lower quadrant of the abdomen. Explorative laparotomy revealed haemorrhage within the abdominal muscles. Her CCHF IgM was found to be positive.
authors.affiliation: First Infectious Diseases and Clinical Microbiology Clinic, Ankara Numune Education and Research Hospital, Ankara, Turkey.
authors.forename: Aysel
authors.initials: A
authors.lastname: Celikbaş
authors.forename: Onder
authors.initials: O
authors.lastname: Ergönül
authors.forename: Başak
authors.initials: B
authors.lastname: Dokuzoğuz
authors.forename: Sebnem
authors.initials: S
authors.lastname: Eren
authors.forename: Nurcan
authors.initials: N
authors.lastname: Baykam
authors.forename: Arife
authors.initials: A
authors.lastname: Polat-Düzgün
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D001064:Appendicitis / Q000175:diagnosis*; D005260:Female; D006479:Hemorrhagic Fever, Crimean / Q000175:diagnosis* / Q000635:transmission; D006801:Humans