The evaluation of abdominal findings in Crimean Congo hemorrhagic fever   
Yazarlar (6)
Prof. Dr. Zafer ÖZMEN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Prof. Dr. Eda ALBAYRAK Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Doç. Dr. Zeliha Cansel ÖZMEN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Doç. Dr. Fatma KÖKCÜ Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Turan Aktaş
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Fazilet Duygu
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Abdominal Radiology
Dergi ISSN 2366-004X Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 02-2016
Cilt No 41
Sayı 2
Sayfalar 384 / 390
DOI Numarası 10.1007/s00261-015-0581-y
Özet

Objective

Crimean-Congo hemorrhagic fever (CCHF) is a widely seen, fatal disease and is endemic to some countries. It affects many organs in the abdomen. Comprehensive radiological study of CCHF is quite rare. This study will use multiple detector computed tomography (MDCT) to investigate if there is a relationship between clinical laboratory measurements and abdominal findings in CCHF and discuss our findings in the light of the literature.

Materials and methods

We retrospectively evaluated the medical records of 443 patients diagnosed with CCHF in our hospital between April 1, 2008 and September 30, 2014. Fifty-one patients had undergone abdominal MDCT examination.

Results

The most common findings seen in abdominal MDCT were intra-abdominal free fluid and hepatomegaly. Gallbladder wall thickening, heterogeneity in mesenteric, omental fatty tissue, and splenomegaly were other common findings. Subcutaneous fat tissue edema, intramuscular hemorrhage, duodenal wall thickening, colon wall thickening, pancreatitis, and acute renal failure were among the rare findings seen in abdominal MDCT. Comparison of these findings to the clinical laboratory parameters showed a strong relationship between intra-abdominal free fluid and platelet count.

Conclusion

Our study is the first comprehensive study on abdominal MDCT findings of CCHF. We detected a strong relationship between patients' platelet count and abdominal free liquid. Therefore, it should be kept in mind that abdominal free fluid can be among clinical manifestations in patients with platelet counts ≤50000 and that this manifestation can become aggravated.
Anahtar Kelimeler
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
The evaluation of abdominal findings in Crimean Congo hemorrhagic fever

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