4.2 Review

Crimean-Congo Hemorrhagic Fever

Journal

LABMEDICINE
Volume 46, Issue 3, Pages 180-189

Publisher

AMER SOC CLINICAL PATHOLOGY
DOI: 10.1309/LMN1P2FRZ7BKZSCO

Keywords

Crimean-Congo hemorrhagic fever virus (CCHFV); Arbovirus; tickborne viruse; zoonotic disease; epidemiology; pathogenesis and treatment of CCHF

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Crimean-Congo hemorrhagic fever virus (CCHFV) is a member of the Bunyaviridae family and Nairovirus genus. The viral genome consists of 3 RNA segments of 12 kb (L), 6.8 kb (M), and 3 kb (S). Crimean-Congo hemorrhagic fever (CCHF) is the most widespread tickborne viral infection worldwide: it has been reported in many regions of Africa, the Middle East, and Asia. The geographical distribution of CCHFV corresponds most closely with the distribution of members of the tick genera, and Hyalomma ticks are the principal source of human infection. In contrast to human infection, CCHFV infection is asymptomatic in all species. Treatment options for CCHF are limited; immunotherapy and ribavirin are effective in the treatment of CCHF; the efficacy of ribavirin in the treatment of CCHF has not yet been proven. This article reviews the history, epidemiology, clinical symptoms, pathogenesis, diagnosis, and treatment of CCHFV, as well as the development of a vaccine against it.

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