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Published on: May 31, 2019
Compartment syndrome: an unusual course for a rare disease
Ali Moghtaderi1, Roya Alavi-Naini, Hadi Azimi
1Neurology Department, Zahedan University of Medical Sciences, Zahedan, Iran. moghadeteri@zdmu.ac.ir
Insights
Crimean-Congo hemorrhagic fever can cause limb compartment syndrome. Early diagnosis and awareness are crucial for improving patient outcomes in this rare complication.
Area of Science:
- Medicine
- Infectious Diseases
- Vascular Surgery
Background:
- Crimean-Congo hemorrhagic fever (CCHF) is a tick-borne viral illness with significant mortality.
- Hemorrhagic complications are well-documented, but specific musculoskeletal manifestations like compartment syndrome are rarely reported.
Observation:
- A 45-year-old male patient presented with compartment syndrome of the left upper limb.
- The condition developed secondary to hemorrhage associated with Crimean-Congo hemorrhagic fever.
Findings:
- The case highlights a unique presentation of CCHF with a rare complication.
- Clinical and electrophysiologic findings were evaluated to understand the pathophysiology.
- Differential diagnosis and management strategies for this specific presentation were discussed.
Implications:
- This case underscores the importance of recognizing compartment syndrome in patients with CCHF.
- Increased clinical awareness may lead to earlier diagnosis and intervention.
- Improved management strategies could potentially enhance the prognosis of this severe complication.
Abstract:
We report a case of compartment syndrome of the left upper limb following hemorrhage due to Crimean-Congo hemorrhagic fever in a 45-year-old man. As far as we know, there is not such a report in the literature. We discuss clinical manifestations, electrophysiologic findings, differential diagnosis, and management of the patient. A high degree of awareness for an early diagnosis may participate to improve the poor prognosis.
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