Predictors of Crimean-Congo hemorrhagic fever in the Emergency Department

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dc.contributor.authorErenler, Ali Kemal
dc.contributor.authorKulaksız, Fuat
dc.contributor.authorÜlger, Hüseyin
dc.contributor.authorÇapraz, Mustafa
dc.contributor.authorTomak, Leman
dc.contributor.authorBaydın, Ahmet
dc.date.accessioned2019-05-13T09:02:36Z
dc.date.available2019-05-13T09:02:36Z
dc.date.issued2015
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractOBJECTIVE: Crimean-Congo hemorrhagic fever (CCHF) is an acute illness affecting multiple organ systems characterized by thrombocytopenia, and/or leukopenia, elevated levels of alanine aminotranferase (ALT), aspartate aminotransferase (AST), lactate dehydrogenase (LDH) and creatine kinase (CK) and it has a case-fatality of 8% to 80%. In this article, we aimed to determine the clinical and laboratory findings that predicts the disease on admission. PATIENTS AND METHODS:We retrospectively analyzed the medical data of the patients admitted to our emergency department (ED) due to tick bite. These patients were divided into two groups according to their transcriptase-polymerase chain reaction (RT-PCR) test results. Findings of PCR (+) (Group 1) and PCR (-) (Group 2) patients were compared. RESULTS: Epistaxis was found to be statistically significant clinical finding in Group 1. Also, while aspartate transaminase (AST) levels and potassium (K) level were significantly higher, platelet count and white blood count (WBC) were significantly lower in Group 1 when compared to Group 2. CONCLUSIONS: Predictors of CCHF in the ED are epistaxis, leukopenia, thrombocytopenia and elevated K and AST levels. In our study, the fatality rate of CCHF was found to be 21.6%.
dc.identifier.citationErenler, A. K., Kulaksız, F., Ülger, H., Çapraz, M., Tomak, L., Baydın, A. (2015). Predictors of Crimean-Congo hemorrhagic fever in the Emergency Department. European Review for Medical and Pharmacological Sciences, 19(20), 3811-3816.
dc.identifier.endpage3816en_US
dc.identifier.issn1128-3602
dc.identifier.issue20en_US
dc.identifier.scopusqualityQ2
dc.identifier.startpage3811en_US
dc.identifier.urihttps://hdl.handle.net/11491/1288
dc.identifier.volume19en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherVerduci Editore
dc.relation.ispartofEuropean Review for Medical and Pharmacological Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectEmergency Departmenten_US
dc.subjectFatality Rateen_US
dc.subjectLaboratory Findingsen_US
dc.subjectTick Biteen_US
dc.titlePredictors of Crimean-Congo hemorrhagic fever in the Emergency Department
dc.typeArticle

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