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Case Report: A Rare Case of Crimean–Congo Hemorrhagic Fever Associated with Epididymo-Orchitis

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  • 1 Depertmant of Infection Diseases and Clinical Microbiology, Health Sciences University, Erzurum Regional Education and Research Hospital, Erzurum, Turkey;
  • 2 Depertmant of Urology, Health Sciences University Erzurum Regional Education and Research Hospital, Erzurum, Turkey;
  • 3 Depertmant of Pulmonology, Ataturk University, Erzurum, Turkey


Crimean–Congo hemorrhagic fever (CCHF) is an acute infectious disease that affects multiple organ systems and is characterized by extensive ecchymosis, internal hemorrhage, and hepatic dysfunction. The reported case fatality rate varies between 8% and 80%. It is frequently transmitted by Hyalomma ticks, which are endemic in the Northeast Anatolia region of Turkey in spring and summer. Our patient presented from an endemic area with fever, malaise, joint pain, and scrotal pain following a tick bite, and real-time PCR analysis of venous blood was positive for CCHF. Based on Doppler ultrasound performed because of the patient’s scrotal pain, he was diagnosed as having epididymo-orchitis, which was considered secondary to CCHF after ruling out other etiologies and resolved with scrotal elevation and anti-inflammatory treatment. Being a very rare complication, this report aimed to document this case of CCHF-associated epididymo-orchitis in the literature.

Author Notes

Address correspondence to Ferhan Kerget, Infection Diseases and Clinical Microbiology, Health Sciences Unversity, Çat Rd. St., Erzurum 25240, Turkey. E-mail: drferhan68@hotmail.com

Authors’ addresses: Ferhan Kerget, Depertmant of Infection Diseases and Clinical Microbiology, Erzurum Bölge Eğitim ve Araştırma Hastanesi, Erzurum, Turkey, E-mail: drferhan68@hotmail.com. Şaban Oğuz Demirdöğen, Depertmant of Urology, Erzurum Bolge Egitim ve Arastirma Hastanesi, Erzurum, Turkey, E-mail: oguzdemirdogen@hotmail.com. Buğra Kerget, Depertmant of Pulmonology, Ataturk Universitesi, Erzurum, Turkey, E-mail: bjkerget1903@gmail.com.