title: Crimean congo hemorrhagic fever infection simulating thrombotic thrombocytopenic purpura.
abstract: Crimean-Congo hemorrhagic fever (CCHF) is a tick-borne disease that may also be transmitted through person-to-person transmission by exposure to infected body fluids. Despite its wide geographic distribution in animals, CCHF virus is rarely associated with recognized human diseases. We report the first case of CCHF in Kermanshah province, Iran. Clinical presentation was characterized by fever, myalgia, and hemorrhage. The levels of liver enzymes, creatinine phosphokinase, and lactate dehydrogenase were elevated, and bleeding markers were prolonged.
authors.affiliation: Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Siavash
authors.initials: S
authors.lastname: Vaziri
authors.forename: Jafar
authors.initials: J
authors.lastname: Navabi
authors.forename: Mandana
authors.initials: M
authors.lastname: Afsharian
authors.forename: Babak
authors.initials: B
authors.lastname: Sayad
authors.forename: Feizollah
authors.initials: F
authors.lastname: Mansouri
authors.forename: Alireza
authors.initials: A
authors.lastname: Janbakhsh
authors.forename: Keighobad
authors.initials: K
authors.lastname: Ghadiri
keywords: Crimean-Congo hemorrhagic fever; Hyalomma spp; Viral infection