Güneş Turabi
Cumhuriyet Universitesi, Sağlik Hizmetleri Meslek Yüksek Okulu, Sivas.
Mikrobiyol Bul. 2006 Jul;40(3):279-87.
Crimean-Congo Hemorrhagic Fever (CCHF) virus is a tick-borne virus, which is a member of Bunyaviridae family, Nairovirus genus. CCHF virus has been isolated from 31 different tick species so far, and genus Hyalomma includes the basic vectors of which H. anatolicum, H. marginatum, H. detritum, H. dromedarii, H. excavatum and H. turanicum are frequently found in the geography in which Turkey takes place. The virus is transmitted via the bite of infected ticks or direct contact with CCHF infected patients and the products of infected animals. Following 2-9 days incubation period, the disease abruptly starts with fever, feeling cold, shivering, headache, muscle and joint aches. After a few days hemorrhage develops at various parts of the body. Since an effective vaccine and a specific antiviral therapy have not been found yet, the high mortality rate which may reach to 10-60%, and a wide geography affecting approximately 40 countries including Turkey, CCHF attracts the attention of both scientific and mediatic world, in recent years. In this article, the structure, vectors and reservoirs of CCHF virus, together with the epidemiology, clinical features, laboratory diagnosis and strategies of treatment and prevention, have been reviewed.
克里米亚-刚果出血热(CCHF)病毒是一种蜱传病毒,属于布尼亚病毒科内罗病毒属。到目前为止,已从31种不同的蜱虫物种中分离出CCHF病毒,璃眼蜱属包括其主要传播媒介,在土耳其所在的地理区域中经常发现安纳托利亚璃眼蜱、边缘璃眼蜱、残缘璃眼蜱、单峰驼璃眼蜱、掘穴璃眼蜱和图兰璃眼蜱。该病毒通过受感染蜱虫的叮咬或与CCHF感染患者及受感染动物的产物直接接触进行传播。经过2至9天的潜伏期后,疾病突然发作,出现发热、畏寒、寒战、头痛、肌肉和关节疼痛。几天后,身体各部位会出现出血症状。由于尚未找到有效的疫苗和特异性抗病毒疗法,CCHF的高死亡率可达10%至60%,且影响包括土耳其在内的约40个国家的广泛地理区域,近年来该疾病引起了科学界和媒体界的关注。在本文中,对CCHF病毒的结构、传播媒介和宿主,以及流行病学、临床特征、实验室诊断和治疗与预防策略进行了综述。