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Am. J. Trop. Med. Hyg., 81(4), 2009, pp. 675-678
doi:10.4269/ajtmh.2009.09-0051;
Copyright © 2009 by The American Society of Tropical Medicine and Hygiene

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SHORT REPORT


Crimean-Congo Hemorrhagic Fever Virus as a Nosocomial Pathogen in Iran

Masoud Mardani, Maryam Keshtkar-Jahromi*, Behrooz Ataie, AND Peyman Adibi
Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University, Tehran, Iran; Clinical Research and Development Center, Shahid Modarres Hospital, Tehran, Iran; Infectious Diseases Research Center, and Division of Gastroenterology, Department of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

 

ABSTRACT

Crimean-Congo hemorrhagic fever (CCHF) is a viral disease with several different modes of transmission. We describe the manifestations, outcome, and likely modes of transmission for three nosocomial cases. All threee cases were healthcare workers (two men and one woman). They had fever, myalgia, and petechia. Disseminated intravascular coagulation resulted in the death occurred in the woman. Because this disease is manifested with non-specific influenza-like symptoms, diagnosis can be difficult. Data for these patients can be used to investigate airborne or sexual transmission of this virus, although neither route was substantiated for these patients. Use of universal precautions and early case detection are the most helpful strategy for preventing nosocomial transmission of CCHF.

Received January 27, 2009. Accepted for publication July 4, 2009.

Acknowledgments: We thank Dr. Seyed-Mostafa Razavi (Shahid Beheshti University, Tehran, Iran) for preparing Figure 1 and Dr. Mohsen Khani (Isfahan University of Medical Sciences, Isfahan, Iran) for assistance in obtaining required data for the manuscript. The American Committee on Clinical Tropical Medicine and Travellers’ Health (ACCTMTH) assisted with publication expenses.

Disclosure: None of the authors have any conflicts of interest.

* Address correspondence to Maryam Keshtkar-Jahromi, Clinical Research and Development Center, Shahid Modarres Hospital, Saa-databad Avenue, Tehran 1998734383, Iran. E-mail: maryam_keshtkar{at}yahoo.com

Authors’ addresses: Masoud Mardani, Maryam Keshtkar-Jahromi, Behrooz Ataie, and Peyman Adibi, Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University, Evin, Tehran, Iran, E-mail: mmardani{at}hotmail.com. Maryam Keshtkar-Jahromi, Clinical Research and Development Center, Shahid Modarres Hospital, Saadatabad Avenue, Tehran, Iran, E-mail: maryam_kesht kar{at}yahoo.com. Behrooz Ataie, Infectious Diseases Research Center, Isfahan University of Medical Sciences, Isfahan, Iran, E-mail: ataie{at}yahoo.com. Peyman Adibi, Division of Gastroenterology, Department of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran, E-mail: adibi{at}med.mul.ac.ir.






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