Close Contact Precautions Could Prevent an Outbreak of Crimean-Congo Hemorrhagic Fever: A Case Series Report from Southern Part of Tehran
This 50-year-old female housewife, whose son-in-law (index case) had died, was admitted with suspicious symptoms and signs of CCHF. She claimed to have experienced myalgia, headache and fever. She had developed arthralgia, especially in both knees and shoulders a few days before admission. The patient had history of close contact with her daughter and her dead son-in-law.\nPhysical examinations revealed oral temperature of 38.5 and petechia on hard palate.\nLaboratory tests showed mildly increased PT, INR and creatinine. Anemia and leukopenia were notable in baseline tests.\nShe also received ribavirin and became afebrile after 4 days. Platelet levels came into normal limits after 4 days ELISA IgM antibody and RT-PCR for CCHF virus were reported as positive in this patient by reference laboratory. Her general condition showed improvement.\nThe patient preferred to leave out the hospital the sixth day of treatment, so oral ribavirin was prescribed for her for the rest of treatment period.