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伴有肢体急性筋膜间室综合征的克里米亚-刚果出血热(跳出常规感染思维)

Crimean-Congo haemorrhagic fever presenting with acute compartment syndrome of the extremities (think beyond normal infections).

作者信息

Aijazi Ishma, Al Shama Fadhil Mustafa Abdulla, Shandala Yaseen, Varghese Rupa Murthy

机构信息

Internal Medicine, Dubai Hospital, Dubai, United Arab Emirates

Internal Medicine, Dubai Hospital, Dubai, United Arab Emirates.

出版信息

BMJ Case Rep. 2020 Feb 6;13(2):e232323. doi: 10.1136/bcr-2019-232323.

Abstract

Crimean-Congo haemorrhagic fever (CCHF) is a viral zoonosis transmitted to humans and animals (which act as a reservoir) through the bite of a '' tick. CCHF virus belongs to the genus Humans are infected when they come in direct contact with the blood or secretions of infected livestock or other infected humans. This disease initially presents with non-specific febrile symptoms common to many viral illnesses and later progresses to disseminated intravascular coagulation (DIC) with haemorrhagic manifestations.We present the case of a middle-aged man with CCHF. He presented to the hospital with DIC and acute compartment syndrome in the right forearm, requiring urgent orthopaedic intervention. The diagnosis was delayed because there was no clear history of contact. The patient was started taking ribavirin on the fifth day of hospital admission. He recovered fully.

摘要

克里米亚-刚果出血热(CCHF)是一种病毒性人畜共患病,通过蜱虫叮咬传播给人类和动物(动物作为储存宿主)。CCHF病毒属于[此处原文缺失属名]属。人类在直接接触受感染牲畜的血液或分泌物或其他受感染人类时会被感染。这种疾病最初表现为许多病毒性疾病常见的非特异性发热症状,随后进展为伴有出血表现的弥散性血管内凝血(DIC)。我们报告一例患有CCHF的中年男性病例。他因DIC和右前臂急性筋膜室综合征入院,需要紧急骨科干预。由于没有明确的接触史,诊断被延迟。患者在入院第五天开始服用利巴韦林。他已完全康复。

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本文引用的文献

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Diagnosis and treatment of acute extremity compartment syndrome.急性肢体间隔综合征的诊断和治疗。
Lancet. 2015 Sep 26;386(10000):1299-1310. doi: 10.1016/S0140-6736(15)00277-9.
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Diagnostic assays for Crimean-Congo hemorrhagic fever.克里米亚-刚果出血热诊断检测方法。
Emerg Infect Dis. 2012 Dec;18(12):1958-65. doi: 10.3201/eid1812.120710.

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