CCHF تب هموراژيك كنگو كريمه

Crimean Congo Hemorrhagic Fever

Crimean - Congo Hemorrhagic Fever (CCHF) is an acute febrile illness, usually with mild to sever hemorrhagic main manifestation. Chumakov, Russian physican (in the end of World War II) described the clinical identification and viral etiology of disease. The syndrome was observed to the associated with transmission To. Human, by Ixodid ticks and was postulated to be a virus. Persons with CCHF develop a very high level of viremia , persisting 8-12 days, making the blood from CCHF patients quite infectious. Clinical picture of CCHF has three phases. In phase I the clinical magnification is non-specific with flu like syndrome, usually with bleeding through intestine, nasal, skin or other sites. In the second phase of disease, bradycardia or tachycardia (in sever bleeding) may be seen. Hypotension, hypovolomic shock and cardio- vascular failure are common signs of disease. Prolonged PT and PTT with thromobocytopenia with leukopenia are common lab findings. Blood transfusion and control of hypovolumia usually are life saving. Serum Elisa Essay and confirmative lab tests with control of bleeding tests are diagnostic assays in CCHF patients.