Crimean Congo hemorrhagic fever infection simulating acute appendicitis

Celikbas A., Ergonul O., Dokuzoguz B., Erena Ş. , Baykam N., Polat-Duzgun A.

JOURNAL OF INFECTION, vol.50, no.4, pp.363-365, 2005 (Journal Indexed in SCI) identifier

  • Publication Type: Article / Article
  • Volume: 50 Issue: 4
  • Publication Date: 2005
  • Doi Number: 10.1016/j.jinf.2004.05.020
  • Title of Journal : JOURNAL OF INFECTION
  • Page Numbers: pp.363-365
  • Keywords: Crimean Congo hemorrhagic fever, acute abdomen, transmission, RECTUS SHEATH HEMATOMA


An unusual cause of acute abdominal pain simulating acute appendicitis is presented. The patient was admitted with complaints of fever, malaise, headache, nausea, vomiting, diarrhoea, and severe bleeding. Based on the clinical and epidemiological findings, a diagnosis of Crimean Congo hemorrhagic fever virus infection was suspected, and ribavirin therapy was started. While her clinical condition was improving, she experienced a sudden pain at her right tower quadrant of the abdomen. Explorative laparotomy revealed haemorrhage within the abdominal muscles. Her CCHF IgM was found to be positive. (c) 2004 The British Infection Society. Published by Elsevier Ltd. All rights reserved.