Abdominal US Findings of Crimean-Congo Hemorrhagic Fever

Year 2020, Volume: 10 Issue: 2, 261 - 265, 25.06.2020

Zafer Özmen , Zafer Parlak

https://doi.org/10.16899/jcm.652354

Cited By: 2

Abstract

Introduction:
Crimean-Congo hemorrhagic fever (CCHF) is one of the deadly diseases, clinically causing viral hemorrhagic fever outbreaks. It is especially transmitted through tick bite and body secretions and accepted as an indigenous disease in certain regions in the world and in our country. Many of the organs, especially the lungs, are affected by this disease. However, current studies are not sufficiently relate the disease and abdominal organ involvement. Therefore, we aim to discuss the ultrasonography (US) findings of the CCHF disease in the context of the literature.
Material and Method:
The retrospective analysis of the hospital records of 283 patients, who were serologically diagnosed as CCHF between 2012-2016 was performed. Abdominal ultrasonography examination revealed that, 20 of those patients had findings in the womb. US findings of these 20 patients were analyzed.
Results
Nine patients (45%) were male, and 11 patients (55%) were female. The most common findings of abdominal US examinations were; the hepatomegalia and the intra-abdominal free fluid. Gallbladder wall thickening and splenomegalia were also commonly found in these patients. Periportal hyperechogenicity, intramuscular hemorrhage, colon wall thickening, sludge in gallbladder, renal hyperechogenicity, renal ectasia and ureter dilatation were rarely observed.
Conclusion
Our study is among the exceptional studies on the analysis of abdominal US findings of CCHF. The most commonly observed findings in our patients were the hepatomegalia and the intra-abdominal free fluid. Intra-abdominal findings of the disease were extremely variable. This study will shed light to the future comprehensive studies.

Keywords

Crimean-Congo hemorhagic fever;Ultrasonography

Kırım Kongo Kanamalı Ateşinin Abdominal Ultrasonografi Bulguları

Abstract

Giriş ve Amaç
Kırım – Kongo Kanamalı Ateşi, özellikle kene ısırması ve vücut sekresyonları aracılığıyla geçiş gösteren, dünyada ve ülkemizde bazı bölgelerde endemik olarak görülen, klinik olarak genellikle ateş ile seyreden ölümcül viral bir hastalıktır. Bu hastalıktan özellikle akciğerler olmak üzere vücuttaki birçok organ etkilenmektedir. Ancak hastalığa bağlı abdominal organlarda tutulum ile ilgili halen yeterli çalışma bulunmamaktadır. Bu nedenle biz çalışmamızda; Kırım – Kongo Kanamalı Ateşi hastalığının ultrasonografi bulgularını literatür eşliğinde tartışmayı amaçladık.
Gereç ve Yöntem
2012- 2016 yılları arasında serolojik olarak Kırım – Kongo Kanamalı Ateşi hastalığı tanısı bulunan 283 hastanın hastanemizde tutulan kayıtları retrospektif olarak değerlendirildi. Bu hastalardan 20’sinde abdominal ultrasonografi incelemesi sonucunda batında bulgu saptandı. Batında bulgu saptanan hastaların ultrasonografi bulguları analiz edildi.
Bulgular
Hastaların 9’u (%45) erkek, 11’i (%55) kadındı. Abdominal ultrasonografi incelemesinde en yaygın görülen bulgular; hepatomegali ve intraabdominal serbest sıvı idi. Safra kesesi duvar kalınlaşması ve splenomegali diğer sık saptanan bulgulardandı. Periportal ekojenite artışı, kas içi hemoraji, kolon duvar kalınlaşması, safra kesesinde çamur, renal ekojenite artışı, renal ektazi ve üreter dilatasyonu ise nadir görülen bulgular arasındaydı.
Sonuç
Çalışmamız Kırım – Kongo Kanamalı Ateşinin abdominal ultrasonografi bulguları üzerine yapılmış çok nadir çalışmalar arasındadır. Hastalarımızda hepatomegali, içi serbest sıvı ve safra kesesi duvar kalınlaşması en sık görülen bulgulardır. Hastalık batında hemen hemen tüm organları etkileyebilmekte olup batıniçi bulgular oldukça çeşitlilik göstermektedir. Çalışmamızın ilerde yapılacak daha kapsamlı çalışmalara ışık tutacağı düşünülmektedir.

Keywords

Kırım Kongo Kanamalı Ateşi, Ultrasonografi

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