National Reference Centre for Arboviruses and Haemorrhagic Fever viruses, Department of Microbiology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Department of Internal Medicine, University Hospital of Alexandroupolis, Alexandroupolis, Greece.
Euro Surveill. 2018 Aug;23(35). doi: 10.2807/1560-7917.ES.2018.23.35.1800432.
We report a tick-borne case of severe Crimean-Congo haemorrhagic fever (CCHF) imported into Greece from Bulgaria. The patient presented severe thrombocytopenia, hemophagocytosis, haemodynamic instability, large haematomas and altered mental status. Supportive treatment and ribavirin were administered. Symptoms started one day after the tick was removed; the patient was discharged from the hospital 26 days after symptom onset. No secondary cases were observed. Phylogenetically the CCHF virus strain belongs to clade Europe 1.
我们报告了一起从保加利亚输入希腊的蜱传重症克里米亚-刚果出血热(CCHF)病例。患者表现出严重的血小板减少症、噬血细胞现象、血流动力学不稳定、大血肿和精神状态改变。给予了支持性治疗和利巴韦林。症状在蜱虫去除后一天开始出现;患者在症状出现后 26 天出院。未观察到继发性病例。该 CCHF 病毒株在系统进化上属于欧洲 1 分支。