Human Crimean-Congo Hemorrhagic Fever, Sénégal

摘要

To the Editor: Crimean-Congohemorrhagic fever (CCHF) virus,genus Nairovirus, family Bunyviridae,is transmitted to mammals and birdsby ticks. Hyalomma ticks, the primaryvectors in CCHF transmission, arewidespread throughout Europe, Asia,the Middle East, and Africa; evidenceof CCHF virus has been found in allthese regions. CCHF in humans is anacute viral disease that is transmittedby the bite of infected ticks, directcontact with blood or infected tissuesfrom viremic animals, and direct con-tact with the blood or secretions of aninfected person (1). On January 26, 2003, a 22-year-old shepherd was treated at a healthpost in the Popenguine District, 60 kmsouth of Dakar, Sénégal; he reportedfever, epistaxis, arthralgia, myalgia ofthe lower limbs, and dark urine for thepast 2 days. Without biologic confir-mation of the infection, he was treatedfor malaria with two intravenousinjections of quinine, followed by oraladministration of chloroquine