A Case of Crimean-Congo Hemorrhagic Fever Presenting to the Emergency Department with Postmenopausal Vaginal Bleeding.

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Ture Z., Erdemli Ş., Bülbül E.

The Journal of emergency medicine, vol.75, pp.171-173, 2025 (SCI-Expanded, Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 75
  • Publication Date: 2025
  • Doi Number: 10.1016/j.jemermed.2025.03.011
  • Journal Name: The Journal of emergency medicine
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, Veterinary Science Database
  • Page Numbers: pp.171-173
  • Erciyes University Affiliated: Yes

Abstract

Background

Crimean-Congo hemorrhagic fever (CCHF) is a common cause of tick-borne hemorrhagic infections. The aim of this study is to report a case of a postmenopausal woman presenting with vaginal bleeding.

Case Report

A 52-year-old woman was admitted to the emergency department with high fever, weakness, loss of appetite, and vaginal bleeding. The patient was engaged in animal husbandry and had no history of tick bites. She had entered menopause 1 year prior. Laboratory tests revealed bicytopenia, abnormal kidney and liver function tests, and impaired coagulation parameters. The diagnosis of CCHF was confirmed by real-time polymerase chain reaction (PCR). She was hospitalized and treated with hydration, bleeding monitoring, and ribavirin. She was discharged on the 6th day of admission.

Why Should an Emergency Physician Be Aware of This?

CCHF presents various clinical manifestations, beyond fever and bleeding. In women living in endemic areas, postmenopausal bleeding may also be a symptom of CCHF, and it should be considered in the differential diagnosis if the clinical history and laboratory findings are consistent.