Hemoperitoneum in pediatric patients with Congo-Crimean hemorrhagic fever | CMAC

Hemoperitoneum in pediatric patients with Congo-Crimean hemorrhagic fever

Clinical Microbiology and Antimicrobial Chemotherapy. 2024; 26(2):229-235

​ Berdaliyeva F.A., Abuova G.N., Polukchi T.V., Aliev D.S., Utepbergenova G.A., Bukharbayev Y.B.
10.36488/cmac.2024.2.229-235
Crimean-Congo hemorrhagic fever hemoperitoneum children hemorrhagic syndrome
Section
Personal Experience
Type
Original Article
Publication
Clinical Microbiology and Antimicrobial Chemotherapy. 2024; 26(2):229-235

Objective.

To identify specific features of the clinical course of Congo-Crimean hemorrhagic fever (CCHF) in children in order to optimize early and differential diagnosis, management tactics and treatment of pediatric patients

Materials and Methods.

A retrospective analysis of 159 probable and confirmed cases of Congo-Crimean hemorrhagic fever was carried out in patients admitted to the infectious diseases departments of Shymkent, district hospitals of Turkestan region for the period 2013–2022, of which 39 (24.5%) were children aged 1 to 18 years.

Results.

Of the 39 cases of CCHF in children, 9 (23.07%) were reported as confirmed, 5 (12.8%) as probable and 25 (64.1%) as suspected cases. In the epidemiological history, tick bite was noted in 25 (64.1%) cases. The incubation period in children and adolescents ranged from 1 to 14 days, on average – 9–8 days. Two children developed a severe complication of CCHF – hemoperitoneum.

Conclusions.

The probability of CCHF infection in children increases during the season of tick vector activity. The clinical picture of CCHF in children may be similar to manifestations of this infection in adults. Among the rare severe forms of CCHF, children may develop hemoperitoneum.

Berdaliyeva F.A.

South Kazakhstan Medical Academy, Shymkent, Kazakhstan

Abuova G.N.

South Kazakhstan Medical Academy, Shymkent, Kazakhstan

Tatyana V. Polukchi

South Kazakhstan Medical Academy, Shymkent, Kazakhstan

Aliev D.S.

South Kazakhstan Medical Academy, Shymkent, Kazakhstan

Utepbergenova G.A.

International Kazakh-Turkish University named after Kh. A. Yasavi, Shymkent, Kazakhstan

Bukharbayev Y.B.

South Kazakhstan Medical Academy, Shymkent, Kazakhstan

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