title: An Unusual Case of Crimean Congo Hemorrhagic Fever: Prolonged Bleeding with Successful Recovery.
abstract: Crimean Congo Hemorrhagic Fever (CCHF) is a tick-borne viral disease with a major reservoir in both domestic and wild animals. In Pakistan, it is endemic largely in rural areas and most cases occur in spring and autumn. Recently, cases are being reported throughout the year, including winter months, with some even from urban areas. Death from CCHF is most likely to occur during the hemorrhagic phase. We report a case presenting from an urban locality in December. Clinical presentation was characterized by a prolonged hemorrhagic phase and a delayed normalization of platelet counts.
authors.affiliation: Department of Medicine, Jinnah Postgraduate Medical Centre (JPMC), Karachi.
authors.forename: Qurban
authors.initials: Q
authors.lastname: Hussain
authors.affiliation: Department of Medicine, Jinnah Postgraduate Medical Centre (JPMC), Karachi.
authors.forename: Bilal Hussain
authors.initials: BH
authors.lastname: Shaikh
authors.affiliation: Department of Medicine, The Indus Hospital, Karachi.
authors.forename: Ali Raza
authors.initials: AR
authors.lastname: Bhutto
authors.affiliation: Department of Medicine, Civil Hospital, Karachi.
authors.forename: Muneebah
authors.initials: M
authors.lastname: Sohaib
mesh_terms: D000998:Antiviral Agents / Q000627:therapeutic use*; D001803:Blood Transfusion; D006470:Hemorrhage / Q000150:complications* / Q000628:therapy; D003225:Hemorrhagic Fever Virus, Crimean-Congo / Q000302:isolation & purification*; D006479:Hemorrhagic Fever, Crimean / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D016133:Polymerase Chain Reaction; D012367:RNA, Viral; D012254:Ribavirin / Q000627:therapeutic use*; D012703:Serotyping; D016896:Treatment Outcome
chemical_list: D000998:Antiviral Agents; D012367:RNA, Viral; D012254:Ribavirin