Diyare ile Başvuran Kırım Kongo Kanamalı Ateşi Olgusu

Kırım-Kongo kanamalı ateşi (KKKA), viral hemorajik ateş sendromları arasında yüksek mortalite ile seyredebilen zoonotik bir enfeksiyon hastalığıdır. Başvuru sırasında kene teması olduğunu bilmeyen, ancak ateş, halsizlik, baş ağrısı ve ishal ile başvuran 37 yaşındaki erkek hasta takip ve tedavi amaçlı yatırıldı. Fizik muayenesinde genel durumu stabil ve bilinci açık olan hastanın batında yaygın hassasiyeti vardı. Laboratuvar tetkiklerinde pansitopeni ve karaciğer fonksiyon testlerinde yükseklik saptandı. Klinik ve laboratuvar bulgularla viral hemorajik ateş düşünülen hastanın KKKA polimeraz zincir reaksiyonu (PCR) testi pozitif saptandı. Destek tedavisi başlanan hasta yaklaşık iki haftalık takip sonrası iyileşti. Son yıllarda ülkemizde endemik olarak görülen KKKA, bu olguda Çankırı ilinde çobanlık yapan bir kişide görülmüştür.

Anahtar Kelimeler:

KKKA, Diyare, Ateş

Crimean Congo Hemorrhagic Fever Case With Diarrhea

Crimean-Congo hemorrhagic fever (CCHF) is a zoonotic infectious disease with high mortality among viral haemorrhagic fever syndromes. The patient was a 37-year-old male who did not know that it was a tick-related disease and applied with fever, fatigue, fatigue, headache. On physical examination, the general condition was stable and there was widespread widespreadness in the patient with consciousness open. In laboratory tests, pancytopenia and liver function tests were found to be elevated. Clinical and laboratory findings of the patient who was considered viral haemorrhagic fever were positive for PCR test of CCHF polymerase chain reaction Patient in whom supportive care is initiated is improved after approximately two weeks of follow-up. CCHF, which has been seen as endemic in our country in recent years, is seen as a shepherd in Çankırı province in this case.

Keywords:

CCHF, Diarrhea, Fever,

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