Küçük Sehrin Büyük Epidemisi: Kirim Kongo Kanamali Atesi/Big Epidemic of Small City: Crimean-Congo Hemorrhagic Fever
Amaç: Kirim Kongo kanamali atesi (KKKA) ülkemizde ve dünyada en sik görülen kene kaynakli viral kanamali atestir. Ates etiyolojisi arastirilirken, özellikle kirsal kesimde kene temasi mutlaka sorgulanmali ve KKKA unutulmamalidir. Bu çalismada KKKA'nin endemik olarak görüldügü sehirle...
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| Published in: | Türkiye parazitolojii dergisi Vol. 47; no. 4; p. 229 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Galenos Yayinevi Tic. Ltd
01-12-2023
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| Subjects: | |
| Online Access: | Get full text |
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| Summary: | Amaç: Kirim Kongo kanamali atesi (KKKA) ülkemizde ve dünyada en sik görülen kene kaynakli viral kanamali atestir. Ates etiyolojisi arastirilirken, özellikle kirsal kesimde kene temasi mutlaka sorgulanmali ve KKKA unutulmamalidir. Bu çalismada KKKA'nin endemik olarak görüldügü sehirlerden Bayburt'ta tespit edilen olgularin özelliklerinin gözden geçirilmesi amaçlanmistir. Yöntemler: Ãalismaya 16 yas ve üzerinde olan, Nisan 2020 ve Ekim 2022 tarihleri arasinda klinigimizde kesin KKKA tanisi konulan 100 hasta dahil edildi. Hastalarin demografik bilgileri, epidemiyolojik ve klinik özellikleri, tedavi ve prognozlari hastane otomasyon sistemi ve Saglik Bakanligi KKKA bilgi sistemi üzerinden retrospektif olarak incelendi. Bulgular: Ãalismaya dahil edilen hastalarin 61'i (%61) erkekti, yas ortalamalari ([+ or -] standart sapma) 50,4[+ or -]15,7'ydi. Hastalarin %77'si çiftçilik ve/veya hayvancilikla ugrasmakta, %71'i kirsal alanda yasamaktaydi. En fazla Haziran ve Temmuz aylarinda olgu görülmüstü. Hastalarin %63'ünde kene tutunma öyküsü vardi. Ilk basvuruda siklik sirasina göre halsizlik (%95), yaygin vücut agrisi (%84), bas agrisi (%67), ates (%65) sikayetleri mevcuttu. Hastalarin 52'sine (%52) ribavirin baslandi. Geç dönemde basvuran bir hasta kaybedildi, 99 hasta sifa ile taburcu edildi. Sonuç: KKKA ülkemizde yaklasik yirmi yildir mevsimsel epidemiler yaparak seyreden önemli bir halk sagligi sorunudur. Hemen her bölgeden sporadik olgular bildirilmekle birlikte bazi bölgelerde hastalik endemiktir. Belirti ve bulgulari spesifik olmadigi için kene temasi sorgulanmadiginda hastalik kolaylikla atlatilabilir. Bu yüzden kirsal kesimde özellikle bahar ve yaz aylarinda, ates ve trombositopeni ile basvuran hastalarda KKKA akla gelmelidir. Anahtar Kelimeler: Kirim kongo kanamali atesi, epidemiyoloji, kene isirigi Objective: Crimean-Congo hemorrhagic fever (CCHF) is the most common tick-borne viral hemorrhagic fever in our country and the world. While investigating the etiology of fever, tick contact should be questioned, especially in rural areas, and CCHF should be remembered. This study aimed to review the characteristics of the cases detected in Bayburt, one of the cities where CCHF is endemic. Methods: A total of 100 patients aged 16 years and older who were diagnosed with CCHF in our clinic between April 2020 and October 2022 were included in the study. Demographic, epidemiological, and clinical characteristics, treatments, and prognoses of the patients were reviewed retrospectively through the hospital automation system and CCHF information system of The Ministry of Health. Results: Sixty one (61%) of the patients included in the study were male, and their primary age ([+ or -] standard deviation) was 50.4[+ or -]15.7. 77% of the patients engaged in farming and or animal husbandry, and 71% were living in rural areas. The highest number of cases was in June and July. 63% of the patients had a history of a tick bite. At the first presentation, there were complaints of fatigue (95%), generalized body pain (84%), headache (67%), and fever (65%), in order of frequency. Ribavirin was started in 52 (52%) patients. One patient admitted in the late period died, and 99 patients were discharged with good recovery. Conclusion: CCHF is an important public health problem that has been causing seasonal epidemics in our country for nearly two decades. Although sporadic cases have been reported from almost every region, the disease is endemic in some areas. Since signs and symptoms are not specific, the disease can be easily missed when tick contact is not questioned. Therefore CCHF should be considered in patients presenting with fever and thrombocytopenia in rural areas, especially in the spring and summer months. Keywords: Crimean-congo hemorrhagic fever, epidemiology, tick bite |
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| ISSN: | 1300-6320 |
| DOI: | 10.4274/tpd.galenos.2023.39200 |