Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Center of Public Health, Environmental and Occupational Hazards Control, Shahid Beheshti University of Medical Science, Tehran, Iran.
J Med Case Rep. 2022 Feb 22;16(1):76. doi: 10.1186/s13256-022-03303-z.
Crimean-Congo hemorrhagic fever is a severe vector-borne viral hemorrhagic fever with considerable mortality in humans. This disease is endemic in Afghanistan, and its incidence rate has rapidly increased in recent years. This infection can cause a broad range of hemorrhage manifestations including epistaxis, petechial or purpuric rashes, hematemesis, and melena; however, vaginal bleeding is also reported as a rare manifestation.
We report the case of a previously healthy 30-year-old Afghan female of shepherding occupation, with a sudden onset of fever, generalized body pain, epistaxis, and vaginal bleeding. She was admitted to the hospital after 7 days of symptom manifestation, with predominant signs being high fever, vaginal bleeding, and elevated liver enzymes. The serological test result for Crimean-Congo hemorrhagic fever was positive. She was treated with oral ribavirin and discharged with normal parameters.
People in high-risk professions in endemic areas should be informed that vaginal bleeding is a serious symptom and requires immediate action and, therefore, might be attributed to nongynecologic disorders.
克里米亚-刚果出血热是一种严重的虫媒病毒性出血热，人类死亡率相当高。该病在阿富汗流行，近年来发病率迅速上升。这种感染可引起广泛的出血表现，包括鼻出血、瘀点或瘀斑、呕血和黑便；然而，阴道出血也被报道为一种罕见的表现。
我们报告了一例先前健康的 30 岁阿富汗牧羊女性，突然发热、全身疼痛、鼻出血和阴道出血。她在症状出现 7 天后被送往医院，主要体征为高热、阴道出血和肝酶升高。克里米亚-刚果出血热的血清学检测结果为阳性。她接受了口服利巴韦林治疗后出院，各项参数正常。
应告知流行地区高危职业人群，阴道出血是一种严重的症状，需要立即采取行动，因此可能归因于非妇科疾病。
