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Published on: December 18, 2010

Crimean-Congo haemorrhagic fever: peritoneal and pleural effusion

G Şensoy1, G Çaltepe Dinler, G Kalkan

  • 1Division of Pediatric Infectious Diseases, Ondokuz Mayıs University Hospital, Samsun, Turkey. sensoyg@gmail.com

Annals of Tropical Paediatrics
|May 18, 2011
PubMed

Insights

Crimean-Congo hemorrhagic fever (CCHF) can cause bleeding. This case report details a rare CCHF presentation with gastrointestinal bleeding and fluid buildup in the abdomen and chest, successfully treated with supportive care and ribavirin.

Area of Science:

  • Infectious Diseases
  • Viral Hemorrhagic Fevers
  • Public Health

Background:

  • Crimean-Congo hemorrhagic fever (CCHF) is a tick-borne viral illness with significant mortality.
  • Hemorrhagic manifestations in CCHF typically include petechiae and ecchymoses.
  • Gastrointestinal, genitourinary, and pulmonary bleeding are less common but severe CCHF complications.

Observation:

  • A 13-year-old male diagnosed with CCHF presented with severe gastrointestinal bleeding.
  • The patient subsequently developed both peritoneal and pleural effusions.
  • This is the first documented case of CCHF associated with both peritoneal and pleural fluid accumulation.

Findings:

  • The patient received supportive treatment and the antiviral drug ribavirin.
  • No surgical intervention or drainage procedures were required for the effusions.
  • Complete recovery was achieved with conservative management.

Implications:

  • This case expands the spectrum of CCHF clinical manifestations.
  • It highlights the potential for CCHF to cause significant fluid accumulation in body cavities.
  • The successful conservative management suggests a potential therapeutic approach for similar rare presentations.

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