معرفی زنی حامله مبتلا به تب خونریزی دهنده کریمه ـ کنگو

Introduction: Crimean-Congo hemorrhagic fever (CCHF) is a viral hemorrhagic fever of the Nairovirus group. Although primarily a zoonosis, sporadic cases and outbreaks of CCHF affecting human do occur. The disease is endemic in many countries in Africa, Europe and Asia. Onset of symptoms is sudden, with fever, myalgia, dizziness, neck pain and stiffness, backache, headache, sore eyes and photophobia. There may be nausea, vomiting and sore throat early on, which may be accompanied by diarrhea and generalized abdominal pain. IgG and IgM antibodies may be detected in serum by ELISA. Case Report: A pregnant woman was admitted in a hospital with severe vaginal bleeding. Fever, myalgia, headache, nausea, abdominal pain, gingival bleeding, jaundice, petechia, and ecchymoses were present. ELISA IgM for CCHF was negative in the first day of admission but in the sixth day of illness, this test became positive. Conclusion: Treatment with oral Ribavirin was started and continued for ten days. After ten days, the patient was discharged from hospital. No problems were detected in follow up visits.