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Farhad Jeddi1 
, Behnam Mohammadi-Ghalehbin1 , Mohammad Jafarzadeh1 , Narges Soozangar *2 , Pourya Gholizadeh1
, Behnam Mohammadi-Ghalehbin1 , Mohammad Jafarzadeh1 , Narges Soozangar *2 , Pourya Gholizadeh1
1- Zoonoses Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
2- Zoonoses Research Center, Ardabil University of Medical Sciences, Ardabil, Iran ,soozangar.narges@gmail.com
2- Zoonoses Research Center, Ardabil University of Medical Sciences, Ardabil, Iran ,
Abstract: (545 Views)
Crimean-Congo hemorrhagic fever (CCHF) virus, typically transmitted via infected tick bites or direct contact with infected tissues or blood of humans or livestock, presents a significant public health concern. Here, we report an unusual case of CCHF from northwest Iran, considering foodborne transmission through raw or undercooked meat as a possible infection source. We also describe a rare CCHF-associated clinical presentation noted in the literature.
The patient, a 24-year-old urban resident of Ardabil, presented with a 2-day history of nausea, bloody vomiting, abrupt fever (> 38°C), severe headache, myalgia, petechiae, and ecchymosis.
Despite reporting kebab consumption before symptom onset, foodborne transmission remained a possible, unconfirmed source. The patient had no history of insect bites or contact with infected animals. With a total risk score of 14, the case was deemed high-risk for CCHF, confirmed by PCR. Treatment involved supportive care and ribavirin. This case underscores that consumption of undercooked meat may be a rare cause of CCHF in endemic regions, and supportive care with ribavirin is suggested for management.
The patient, a 24-year-old urban resident of Ardabil, presented with a 2-day history of nausea, bloody vomiting, abrupt fever (> 38°C), severe headache, myalgia, petechiae, and ecchymosis.
Despite reporting kebab consumption before symptom onset, foodborne transmission remained a possible, unconfirmed source. The patient had no history of insect bites or contact with infected animals. With a total risk score of 14, the case was deemed high-risk for CCHF, confirmed by PCR. Treatment involved supportive care and ribavirin. This case underscores that consumption of undercooked meat may be a rare cause of CCHF in endemic regions, and supportive care with ribavirin is suggested for management.
Type of Study: Case Report Article |
Subject:
Clinical Medicine
Received: 2025/12/17 | Accepted: 2026/06/22
Received: 2025/12/17 | Accepted: 2026/06/22
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