Crimean-Congo hemorrhagic fever (CCHF) is a viral, tick-borne disease that can be fatal, especially in the adult patient population. CCHF involves multiple organ systems. Pericardial effusion, cardiac hypokinesia, T-wave changes, bundle branch block, and myocardial involvement can be seen as a cardiac complication of CCHF. Several different viruses like Coxsackie A/B and adenovirus may cause myocarditis and cardiomyopathy, but myocardial involvement of CCHF in children was rarely reported. We report a 13-year-old boy patient with myocarditis during the course of CCHF who has completely resolved after convalescent period of the disease.
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References
1.
DolinR, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, 6th ed. Philadelphia: Churchill Livingstone, 2005:1052–1070.
2.
EnginA, YilmazMB, ElaldiN, et al.Crimean-Congo hemorrhagic fever: Does it involve the heart?. Int J Infect Dis, 2009; 13:369–373.
Gülİ, KayaA, GüvenS, KarapınarH, et al.Cardiac findings in children with Crimean-Congo hemorrhagic fever. Med Sci Monit, 2011: 17:CR457–CR460.
5.
HalsteadSB. Other viral hemorrhagic fevers. In: KliegmanRM, StantonBF, St. GemeJWIII, et al., eds. Nelson Textbook of Pediatrics. Saunders Elsevier, 2011:1150–1153.
6.
OflazMB, BolatF, KayaA, GuvenAS, et al.Resting heart rate in children with Crimean-Congo hemorrhagic fever: A tool to identify patients at risk?. Vector Borne Zoonotic Dis, 2014; 14:59–65.
7.
OflazMB, KucukdurmazZ, Sami GüvenA, KarapinarH. Bradycardia seen in children with Crimean-Congo hemorrhagic fever. Vector Borne Zoonotic Dis, 2013: 13:807–811.
8.
SavoiaMC, OxmanMN. Myocarditis and pericarditis. In: MandellGL, BennettJE,
9.
DolinR, editors. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, 6th ed. Philadelphia: Churchill Livingstone; 2005:1052–1070.
10.
TezerH, Ozkaya ParlakayA, GülhanB, CetinI. Bradycardia related to ribavirin in four pediatric patients with Crimean-Congo hemorrhagic fever. Vector Borne Zoonotic Dis, 2014a; 14:464–465.
11.
TezerH, Ozkaya-ParlakayA, KızılgünM, KayaA, GülhanB, et al.Cytokine concentrations in pediatric patients with Crimean-Congo hemorrhagic fever. Pediatr Infect Dis J, 2014b; 33:1185–1187.
12.
WaliJP, BiswasA, ChandraS, MalhotraA, AggarwalP, HandaR, et al.Cardiac involvement in dengue haemorrhagic fever. Int J Cardiol, 1998; 64:31–36.
13.
YilmazMB, EnginA, Bektasoglu, et al.Does electrocardiography at admission predict outcome in Crimean-Congo hemorrhagic fever?. J Vector Borne Dis, 2011: 48; 150–154.
