Atypical presentation of Crimean-Congo haemorrhagic fever: Lessons learned

S Afr Med J. 2019 Jan 31;109(2):91-94. doi: 10.7196/SAMJ.2019.v109i2.13477.

Abstract

An atypical case of Crimean-Congo haemorrhagic fever is presented. The diagnosis of the case in the presence of several comorbidities was complicated and illustrates the importance of maintaining a high index of suspicion for viral haemorrhagic fever in cases presenting with multisystem disease and an epidemiological history that could present opportunities for exposure to a haemorrhagic fever virus.

Publication types

  • Case Reports

MeSH terms

  • Acidosis / diagnosis
  • Comorbidity
  • Diabetes Mellitus, Type 2 / drug therapy
  • Diabetes Mellitus, Type 2 / epidemiology
  • Diabetic Ketoacidosis / diagnosis
  • Diagnosis, Differential
  • Drug Overdose / diagnosis
  • Headache / etiology
  • Hemorrhagic Fever, Crimean / complications
  • Hemorrhagic Fever, Crimean / diagnosis*
  • Hemorrhagic Fever, Crimean / epidemiology
  • Humans
  • Hypertension / epidemiology
  • Hypoglycemic Agents / poisoning
  • Male
  • Metformin / poisoning
  • Middle Aged
  • Myalgia / etiology
  • Obesity / epidemiology
  • Prostatic Hyperplasia / epidemiology
  • Thrombocytopenia / etiology

Substances

  • Hypoglycemic Agents
  • Metformin