Crimean-Congo hemorrhagic fever: aid of abdominal ultrasonography in prediction of severity
| Autor: | Tulin Degirmenci, Süha Koparal, Aysel Kocagul Celikbas, Başak Dokuzoğuz, Ipek Ziraman, Onder Ergonul, Sadik Ahmet Uyanik |
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| Rok vydání: | 2014 |
| Předmět: |
Crimean–Congo hemorrhagic fever
Adult Male medicine.medical_specialty Adolescent Turkey Microbiology Gastroenterology Severity of Illness Index Young Adult Virology Internal medicine Ascites Abdomen medicine Animals Humans Prospective Studies Prospective cohort study Aged Ultrasonography Aged 80 and over medicine.diagnostic_test business.industry Odds ratio Middle Aged medicine.disease Confidence interval Hospitals Infectious Diseases medicine.anatomical_structure Abdominal ultrasonography Hemorrhagic Fever Virus Crimean-Congo Female Hemorrhagic Fever Crimean Radiology Lymph medicine.symptom business |
| Zdroj: | Vector borne and zoonotic diseases (Larchmont, N.Y.). 14(11) |
| ISSN: | 1557-7759 |
| Popis: | Crimean-Congo hemorrhagic fever (CCHF) is a fatal viral infection that involves multiple organs, and endothelium. We described abdominal sonographic findings of the patients infected with the Crimean-Congo hemorrhagic fever virus (CCHFV) in relation to the severity of the disease. This is a prospective study performed among hospitalized patients infected with CCHF between 2005 and 2011. A total of 210 hospitalized patients with confirmed CCHF infection were included in the study. The mean age was 47 and 49.5% of the patients were female. Patients were classified as mild, moderate, or severe disease according to their clinical and laboratory findings. The relationship between the clinical severity of CCHF and the abdominal sonographic findings was analyzed. Sonographic findings of abdomen included gallbladder wall thickening (GBWT) in 44 (21%), splenomegaly in 39 (19%), hepatomegaly in 52 (25%), decrease in echo of liver parenchyma in nine (4%), increase in echo liver parenchyma in 13 (6%), intra-abdominal fluid collection/ascites in 23 (11%), and enlarged periportal lymph nodes in seven (3%) cases. GBWT was detected in 3% of mild patients, 23% of moderate patients, and 61% of severe patients (p |
| Databáze: | OpenAIRE |
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