最后审阅: 1 七月 2021
最后更新: 02 十二月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 发热
  • 肌痛
  • 不适感
  • 出血
  • 斑疹或瘀点性皮疹

其他诊断因素

  • 头痛
  • 恶心
  • 腹痛
  • 肝肿大
  • 脾肿大
  • 嗜睡
  • 腹泻
  • 低血压
  • 结膜炎
  • 关节痛

危险因素

  • 在 CCHF 疫区居住或最近曾前往 CCHF 疫区
  • 蜱暴露史
  • 接触感染者的体液
  • 职业暴露
  • 接触感染动物
  • 与感染者有无保护性性接触

诊断性检查

首要检查

  • 逆转录-聚合酶链反应 (RT-PCR)
  • 疟疾检查

需考虑的检查

  • 血清学
  • 全血细胞计数 (FBC
  • 凝血功能检查
  • 肝功能检查 (LFT)
  • 血清肌酐和尿素
  • 尿液分析
  • 血清电解质
  • 乳酸脱氢酶
  • 肌酸磷酸激酶

治疗流程

初步治疗
急症处理

撰稿人

作者

Onder Ergonul, MD, MPH

Professor

Infectious Diseases and Public Health

Koç University School of Medicine

Chair

lnfectious Diseases and Clinical Microbiology Department

American Hospital

President

Turkish Society of Clinical Microbiology and Infectious Diseases

Istanbul

Turkey

利益声明

OE is the author of references cited in this topic.

同行评议者

Vanessa Raabe, MD, MSc

Adult and Pediatric Infectious Disease Fellow

Emory University

Atlanta

GA

利益声明

VR declares that she has no competing interests.

Tom Fletcher, MBChB, MRCP, DTM&H

Wellcome Trust/MoD Research Fellow

Liverpool School of Tropical Medicine

Liverpool

UK

利益声明

TF receives Crimean-Congo haemorrhagic fever research funding from the Wellcome Trust and UK Surgeon General. He is a member of the WHO secretariat for Crimean-Congo haemorrhagic fever guideline development.

Ayşe Erbay, MD, MPH

Professor of Infectious Diseases

Faculty of Medicine

Bozok University

Yozgat

Turkey

利益声明

AE declares that she has no competing interests.

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