A nosocomial outbreak of Crimean-Congo hemorrhagic fever

Emine Parlak, Ayşe Ertürk, Zahide Koşan, Mehmet Parlak, Zülal Özkurt
1.639 618


Objectives: An outbreak of nosocomial Crimean-Congo Hemorrhagic Fever (CCHF) occurred in a university hospital in May 2014. The index case was hospitalized with a preliminary diagnosis of intoxication, liver failure and disseminated intravascular coagulopathy (DIC). The index case, a farmer, died a few hours later with signs of bleeding. Outbreak Investigation: Crimean-Congo Hemorrhagic Fever Polymerase Chain Reaction (PCR) was positive in the index case serum. RT-PCR and/or IgM serology were reported as positive for CCHF virus in all cases. Six health care workers and two relatives in direct or indirect contact with the index case were infected. The main symptoms were myalgia, fatigue, headache, anorexia, sore throat and eruption. Maculopapular rash was observed in five cases. Three patients had exudative tonsillitis. Emergency workers and internal medicine intensive care, radiology and infectious disease personnel had a history of contact with index and/or secondary cases. Ribavirin was given to all patients. One health care worker died because of CCHF. Conclusion: A healthcare worker died due to nosocomial CCHF. This presentation emphasized importance of universal precautions.


Crimean-Congo hemorrhagic fever, nosocomial, outbreak, prevention

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DOI: http://dx.doi.org/10.5799/ahinjs.02.2015.01.0166


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