Journal of Advances in Medical and Biomedical Research

en Crimean-Congo Hemorrhagic Fever associated with Consumption of under-cooked Meat: a case report Clinical Medicine Clinical Medicine گزارش موردی Case Report Article 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.   Crimean-Congo Hemorrhagic Fever, Zoonoses, Tick-Borne Diseases, Meat, Case Reports. 33 33 http://journal.zums.ac.ir/browse.php?a_code=A-10-7465-2&slc_lang=en&sid=1 Farhad Jeddi farhadjeddi@gmail.com 5200319475328460089059 5200319475328460089059 No Zoonoses Research Center, Ardabil University of Medical Sciences, Ardabil, Iran Behnam Mohammadi-Ghalehbin bmghalehbin@gmail.com 5200319475328460089060 5200319475328460089060 No Zoonoses Research Center, Ardabil University of Medical Sciences, Ardabil, Iran Mohammad Jafarzadeh dr.jafarzadeh67@yahoo.com 5200319475328460089061 5200319475328460089061 No Zoonoses Research Center, Ardabil University of Medical Sciences, Ardabil, Iran Narges Soozangar soozangar.narges@gmail.com 5200319475328460089062 5200319475328460089062 Yes Zoonoses Research Center, Ardabil University of Medical Sciences, Ardabil, Iran Poorya Gholizadeh poorya.gholizadeh@gmail.com 5200319475328460089063 5200319475328460089063 No Zoonoses Research Center, Ardabil University of Medical Sciences, Ardabil, Iran