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
可能暴露
疑似或确诊感染
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.
鉴别诊断
- 疟疾感染
- 埃博拉病毒感染
- 拉沙热
更多 鉴别诊断指南
- 克里米亚-刚果出血热:来源、宿主、传播和指南
- CDC 国际旅行健康信息(黄皮书):病毒性出血热
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