Hidden threats: Brucellosis diagnosis and co-infection patterns in Crimean-Congo Hemorrhagic Fever suspects

Murtaza Öz1, Fatih Çubuk2, Yasemin Çakır Kıymaz3

  • 1Department of Infectious Diseases and Clinical Microbiology, Sivas Numune Hospital, Sivas, Türkiye.

Insights

Brucellosis affects 3.2% of patients with Crimean-Congo Hemorrhagic Fever (CCHF). Given symptom overlap, brucellosis should be considered in CCHF differential diagnoses.

Area of Science:

  • Infectious Diseases
  • Epidemiology
  • Clinical Medicine

Background:

  • Crimean-Congo Hemorrhagic Fever (CCHF) and brucellosis are significant infectious diseases.
  • Both conditions share overlapping symptoms and risk factors, complicating diagnosis.

Purpose of the Study:

  • To determine the prevalence of brucellosis in patients initially diagnosed with CCHF.
  • To highlight the importance of considering brucellosis in the differential diagnosis of CCHF.

Main Methods:

  • Retrospective evaluation of 1231 patients.
  • Included 14 patients with CCHF and brucellosis coinfection and 25 with brucellosis alone.
  • Statistical analysis using Mann-Whitney U and Fisher's exact tests.

Main Results:

  • Brucellosis was identified in 3.2% of patients with a preliminary CCHF diagnosis.
  • Co-infected patients exhibited shorter hospital admission times, increased tick exposure, and more frequent headaches.
  • Elevated creatine kinase and lower lymphocyte and fibrinogen levels were noted in the co-infected group.

Conclusions:

  • A 3.2% brucellosis rate was found in CCHF patients.
  • Brucellosis should be considered in the differential diagnosis of CCHF due to symptom and risk factor similarities.
  • Concurrent brucellosis evaluation is crucial for patients diagnosed with CCHF.
Abstract