Tokat ilinde İki İlçe Hastanesinde Kırım-Kongo Kanamalı Ateşi Öntanısı ile Takipli Olguların Değerlendirilmesi

Objective: Tokat is one of the cities in Turkey where Crimean–Congo hemorrhagic fever (CCHF) endemic. Given that CCHF fatal and contagious, patients should be isolated hospitalized. This study aimed to compare epidemiological, clinical, laboratory findings CCHF-positive CCHF-negative cases two district hospitals Tokat.
 Materials Methods: Patients applied Turhal Zile Hospitals between January 2018 December 2019 had a pre-diagnosis were included this case–control study. The patients’ demographic data, symptoms, treatment, prognosis recorded. “Pre-diagnosis for CCHF” was defined as presence leukopenia or thrombocytopenia, addition at least symptoms. Cases antibodies virus virus- RNA “CCHF-positive group” others “CCHF-negative group”. Pearson’s chi-square test Fisher’s used categorical variables. P values are less than 0.05 considered statistically significant.
 Results: Symptoms headache (20 vs. 18), nausea vomiting 16), myalgia (18 diarrhea (11 5) more common group group. Leukopenia, elevated aspartate aminotransferase (AST), alanine (ALT), lactate dehydrogenase (LDH) levels, prolongated prothrombin time (PTZ) activated partial thromboplastin (aPTT) levels also common. AST elevation PTZ prolongation significant (p=0.01 p=0.003, respectively). mortality rate 3.8%.
 Conclusion: Even if there no history tick bite living endemic region presenting with gastrointestinal probability high leukopenia, LFT LDH prolonged aPTT. always these symptoms findings.