Adventure Doc
keeping you healthy for life's adventures
Erik McLaughlin MD, MPH
Affiliates
CRIMEAN-CONGO HEMORRHAGIC FEVER
Basics:
Nairovirus acquired through bite of infective tick (Hyalomma species) causing hemorrhages, fever, malaise, limb pain and anorexia. Bleeding generally confined to lungs, nose, lips/gums, intestines and uterus. Prolonged recovery time noted. Case fatality rate ranges from 2% to 50%.
Location:
Western Crimea (North of Black Sea), Iran, Iraq, Pakistan, Albania, Turkey, Sub-Saharan Africa and Arabian Peninsula
Transmission/ Incubation:
Infective tick bite from Hyalomma Marginatum or H. Anatolicium. Nosocomial infection can occur. Reservoirs include mice, birds and hares. Incubation can be from 3 to 12 days but averages 3-4 days.
Prevention:
Avoidance of tick breeding areas and infested areas. See Lyme disease for tick/vector control.
Diagnosis:
PCR or ELISA
Treatment:
Supportive care including antipyretics for fever, cooling, and ribavirin IV.
PRODUCT REVIEWS
Crimean-Congo Hemorrhagic Bunyavirus
Hyalomma tick
