Close Contact Precautions Could Prevent an Outbreak of Crimean-Congo Hemorrhagic Fever: A Case Series Report from Southern Part of Tehran
On 25th June 2011 a 24-year-old female, pregnant with gestational age of 16 weeks, presented to the Loghman Hakim Hospital, Tehran, Iran, with chief complaint of hematemesis, petechia on upper extremities and palmar areas.\nShe denied history of vaginal bleeding, fever, myalgia, headache, arthralgia, diarrhea or rectorrhagia. She claimed to have a close contact with her husband who was a livestock-worker and had died the week before, with symptoms of bloody diarrhea and hematemesis. She also had a history of close contact with domestic animals as she worked with her husband.\nThe patient was immediately transferred to an isolated room and serum was obtained for CCHF virus serology and RT-PCR.\nHer laboratory studies revealed normal aminotransferases and PT, PTT. On baseline laboratory tests, anemia and thrombocytopenia were detected. urine analysis did not show hematuria. Obstetric examinations were normal and sonography showed normal alive twin fetuses. Because of her life-threatening condition, therapeutic ribavirin dose was administered to her.\nThe patient's condition was satisfactory after five days and she was discharged of hospital, with oral ribavirin.