PMID- 17903402
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20151105
LR  - 20071001
IS  - 1022-386X (Print)
IS  - 1022-386X (Linking)
VI  - 17
IP  - 9
DP  - 2007 Sep
TI  - Congo crimean hemorrhagic Fever in balochistan.
PG  - 543-5
AB  - OBJECTIVE: To observe the pattern and mortality of Congo-Crimean Hemorrhagic 
      Fever (CCHF) in Balochistan. DESIGN: Case series. PLACE AND DURATION OF STUDY: 
      Department of Medicine, Sandeman Provincial Hospital and Bolan Medical Complex 
      Hospital, Quetta, from September, 1995 to August, 2005. PATIENTS AND METHODS: Two 
      hundred and twenty-six febrile patients with bleeding of sudden onset, with 
      initial signs and symptoms including headache, high fever, back pain, joint pain, 
      stomach pain, vomiting, red eyes, flushed face, red throat and petechiae on the 
      palate of both sexes were screened for CCHF over a period of 10 years. Clinical 
      criteria for initial diagnosis directed the subsequent diagnostic work-up. 
      RESULTS: The ages of these patients ranged from 7 years to 74 years. Sixty-three 
      percent of these patients were positive for CCHF. Males were 68% of the total 
      patients. Over the years, CCHF showed a gradual increase ranging from 43% to 80%. 
      Total mortality was 15%, all being secondary cases. Death was not observed in 
      primary CCHF cases. In this study, suspicion of viral hemorrhagic fever was 
      raised in 62% cases at the time of admission and the patients were immediately 
      isolated, noninvasive procedures were instigated and barrier nursing was 
      implemented. None of the family and hospital staff members who had close contact 
      with the patient became ill, while those who were not suspected initially (38%) 
      infected the health care workers and the family members. CONCLUSION: Although 
      CCHF is rare, this study stresses the need for proper health facilities in 
      Pakistan and to include VHF (viral hemorrhagic fevers) in the differential 
      diagnosis of unexplained fever with hemorrhagic tendencies of sudden onset.
FAU - Durrani, Abdul Baqi
AU  - Durrani AB
AD  - Department of Medicine, Bolan Medical College, Quetta.
FAU - Shaikh, Muzaffar
AU  - Shaikh M
FAU - Khan, Zahir
AU  - Khan Z
LA  - eng
PT  - Journal Article
PL  - Pakistan
TA  - J Coll Physicians Surg Pak
JT  - Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
JID - 9606447
EDAT- 2007/10/02 09:00
MHDA- 2007/10/02 09:01
CRDT- 2007/10/02 09:00
PHST- 2006/09/18 00:00 [received]
PHST- 2007/06/21 00:00 [accepted]
PHST- 2007/10/02 09:00 [pubmed]
PHST- 2007/10/02 09:01 [medline]
PHST- 2007/10/02 09:00 [entrez]
AID - 040579197 [pii]
PST - ppublish
SO  - J Coll Physicians Surg Pak. 2007 Sep;17(9):543-5.