Fatal Nosocomial Spread of Crimean-Congo Hemorrhagic Fever with Very Short Incubation Period

HamidReza Naderi Department of Infectious Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; Registered nurses, Imam Reza Hospital, Mashhad, Iran

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Fereshte Sheybani Department of Infectious Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; Registered nurses, Imam Reza Hospital, Mashhad, Iran

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Amin Bojdi Department of Infectious Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; Registered nurses, Imam Reza Hospital, Mashhad, Iran

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Nasrin Khosravi Department of Infectious Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; Registered nurses, Imam Reza Hospital, Mashhad, Iran

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Irandokht Mostafavi Department of Infectious Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; Registered nurses, Imam Reza Hospital, Mashhad, Iran

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Crimean-Congo hemorrhagic fever is a tick-borne viral zoonosis with the potential of human-to-human transmission with case fatality rates from 3% to 50%. The incubation period depends on host, route of infection, and viral dose. Herein, we report a nosocomial spread of the disease in a hospital at Mashhad, northeastern Iran, with a very short incubation period for one of the secondary cases. The patient was a medical student who had a negligible contact with a Crimean-Congo hemorrhagic fever patient during his admission to the hospital. The time interval between the contact and the onset of symptoms was merely 20 hours. Unfortunately, he died within 1 week of exposure.

Author Notes

* Address correspondence to HamidReza Naderi, Daneshgah Avenue, Ibne Sina Street, Mashhad 9179817317. E-mail: naderihr@mums.ac.ir

Authors' addresses: HamidReza Naderi, Fereshte Sheybani, Amin Bojdi, Nasrin Khosravi, and Irandokht Mostafavi, Department of Infectious Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran, E-mails: naderihr@mums.ac.ir, fereshtesheybani@gmail.com, bojdya@mums.ac.ir, KhosraviN3@mums.ac.ir, and MostafaviI1@mums.ac.ir.

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