title: Crimean-Congo hemorrhagic fever with hyperbilirubinemia and ascites: An unusual presentation.
abstract: Crimean-Congo hemorrhagic fever (CCHF) is a fatal systemic viral infection which is an important health problem in Turkey. Many systemic symptoms have been reported including fever, hemorrhage, headache, fatigue, muscle ache, abdominal pain, nausea and vomiting. A 45-year-old male farmer with CCHF presented with massive peritoneal effusion and hyperbilirubinemia. To our knowledge, this is the first case of peritoneal effusion and hyperbilirubinemia in an adult patient with CCHF. His clinical symptoms successfully improved with supportive therapy. In patients who live in endemic areas with atypical presentation for the diagnosis of CCHF should be kept in mind.
authors.affiliation: Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Erciyes Univeristy, Kayseri, Turkey.
authors.forename: Zeynep
authors.initials: Z
authors.lastname: Ture
authors.affiliation: Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Erciyes Univeristy, Kayseri, Turkey.|Erciyes University Faculties of Medicine Hospitals, Infection Control Committee, Kayseri, Turkey.
authors.forename: Ayşegül
authors.initials: A
authors.lastname: Ulu Kılıç
authors.affiliation: Department of Infectious Disease, Education and Research Hospital, Kayseri, Turkey.
authors.forename: Ilhami
authors.initials: I
authors.lastname: Celik
authors.affiliation: Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Erciyes Univeristy, Kayseri, Turkey.
authors.forename: Tugba
authors.initials: T
authors.lastname: Tok
authors.affiliation: Public Health Institute of Turkey, Virology Laboratory, National Arbovirus and Viral Zoonoses Reference and Research Laboratory, Ankara, Turkey.
authors.forename: Dilek
authors.initials: D
authors.lastname: Yağcı-Çağlayık
mesh_terms: D001201:Ascites / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology; D006479:Hemorrhagic Fever, Crimean / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D006932:Hyperbilirubinemia / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D014421:Turkey
keywords: Crimean-Congo hemorrhagic fever; ascites; hyperbilirubinemia