A case of Crimean-congo hemorrhagic fever with pleural effusion.
Crimean-Congo hemorrhagic fever (CCHF) is a tick-borne viral zoonosis with the potential of human-to-human transmission that affects wide areas in Asia, Southeastern Europe, and Africa. Hemorrhagic manifestations constitute a prominent symptom of late stage disease with case fatality rates from 3 to 50%. We present a case of CCHF complicated by hemorrhagic pleural effusion and resulting in resolution without chest tube drainage in a 9-year-old boy. The diagnosis of CCHF was confirmed by enzyme-linked immunosorbent assay tests. Both serum and pleural fluid CCHF IgM were positive at titers of 1/1,600 and 1/6,400, respectively.
Tanir
Gonul
G
Dr. Sami Ulus Children's Health and Diseases Training and Research Center, Ankara, Turkey. gonultanir58@yahoo.com
Tuygun
Nilden
N
Balaban
Ismail
I
Doksöz
Onder
O
D000818:Animals; D000998:Antiviral Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D002648:Child; D004797:Enzyme-Linked Immunosorbent Assay; D003225:Hemorrhagic Fever Virus, Crimean-Congo / Q000276:immunology / Q000302:isolation & purification*; D006479:Hemorrhagic Fever, Crimean / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D007075:Immunoglobulin M / Q000032:analysis; D008297:Male; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000821:virology*; D011859:Radiography; D012254:Ribavirin / Q000008:administration & dosage / Q000627:therapeutic use*; D013987:Ticks / Q000821:virology
D000998:Antiviral Agents; D007075:Immunoglobulin M; D012254:Ribavirin