title: A case of endocarditis mimicking Crimean-Congo haemorrhagic fever.
abstract: Infective endocarditis (IE) is life-threatening condition with a highly variable clinical presentation. We report a case of acute IE with delayed diagnosis which resulted due to an initial misdiagnosis of Crimean Congo Hemorrhagic Fever (CCHF) in an endemic area. A case was due to Staphylococcus aureus and requiring valve replacement. They serve to emphasize the importance of careful history taking, physical examination and a broad range of different diagnostic techniques in the context of suspected viral hemorrhagic fever.
authors.affiliation: Department of Infectious Disease and Clinical Microbiology, Ondokuz Mayıs University, Medical School, Samsun, Turkey estanyel@yahoo.com.tr.
authors.forename: Esra
authors.initials: E
authors.lastname: Tanyel
authors.affiliation: Department of Infectious Disease and Clinical Microbiology, Ondokuz Mayıs University, Medical School, Samsun, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Sunbul
authors.affiliation: Department of Infectious Disease and Clinical Microbiology, Ondokuz Mayıs University, Medical School, Samsun, Turkey.|Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, UK.
authors.forename: Tom
authors.initials: T
authors.lastname: Fletcher
authors.affiliation: Department of Infectious Disease and Clinical Microbiology, Ondokuz Mayıs University, Medical School, Samsun, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Leblebicioglu
mesh_terms: D003951:Diagnostic Errors; D004452:Echocardiography; D019353:Endemic Diseases; D004697:Endocarditis, Bacterial / Q000175:diagnosis*; D005260:Female; D003225:Hemorrhagic Fever Virus, Crimean-Congo; D006479:Hemorrhagic Fever, Crimean / Q000175:diagnosis*; D006801:Humans; D008875:Middle Aged; D013211:Staphylococcus aureus
keywords: Crimean-Congo haemorrhagic fever; infective endocarditis; misdiagnosis