2010年阿拉伯联合酋长国迪拜的克里米亚-刚果出血热：病例报告
Crimean-Congo Hemorrhagic Fever in Dubai, United Arab Emirates, 2010: Case Report.
作者信息
Mohamed Al Dabal Laila, Rahimi Shahmirzadi Mohmamed Reza, Baderldin Samar, Abro Ali, Zaki Ali, Dessi Zulfa, Al Eassa Essa, Khan Gulfaraz, Shuri Hassan, Alwan Abid Mustafa
机构信息
Infectious Diseases and Microbiology Units, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
Virology laboratory, Dr. Sulaiman Faqih Hospital, Jeddah, Kingdom of Saudi Arabia.
出版信息
Iran Red Crescent Med J. 2016 Jul 27;18(8):e38374. doi: 10.5812/ircmj.38374. eCollection 2016 Aug.
INTRODUCTION
Crimean-Congo hemorrhagic fever (CCHF) is a severe infectious disease that is not endemic in the United Arab Emirates (UAE).
CASE PRESENTATION
We report two cases of confirmed CCHF diagnosed in Dubai, UAE, during Hajj season 2010. Both patients presented with an acute history of high-grade fever, skin rash, and hematemesis.
CONCLUSIONS
In spite of maximal supportive measures and intravenous ribavirin therapy, both patients died within a few days from start of illness. More than 250 health care workers came into variable degrees of contact with the index cases, and none of them developed signs or symptoms suggestive of acquiring the illness. Health care workers from nonendemic regions should be aware of zoonotic hemorrhagic fevers imported via infected cattle and ticks and be able to diagnose and properly manage suspected cases in a timely manner. In addition, proper infection-control measures should be undertaken to prevent nosocomial spread of infection.
引言
克里米亚-刚果出血热（CCHF）是一种严重的传染病，在阿拉伯联合酋长国（阿联酋）并非地方性疾病。
病例报告
我们报告2010年朝觐季节期间在阿联酋迪拜确诊的两例CCHF病例。两名患者均有高热、皮疹和呕血的急性病史。
结论
尽管采取了最大程度的支持措施并进行了静脉注射利巴韦林治疗，但两名患者在发病后几天内均死亡。250多名医护人员与首例病例有不同程度的接触，但他们均未出现提示感染该病的体征或症状。来自非地方性地区的医护人员应了解通过感染的牛和蜱传播的人畜共患出血热，并能够及时诊断和妥善处理疑似病例。此外，应采取适当的感染控制措施以防止医院内感染传播。
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