{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T16:46:53Z","timestamp":1792428413495,"version":"4.5.0"},"reference-count":51,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,1,19]]},"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:p>Crimean-Congo haemorrhagic fever (CCHF) is a viral zoonosis transmitted to humans and animals (which act as a reservoir) through the bite of a \u2018<jats:italic>Hyalomma<\/jats:italic>\u2019 tick. CCHF virus belongs to the genus <jats:italic>Nairovirus<\/jats:italic>. Humans are infected when they come in direct contact with the blood or secretions of infected livestock or other infected humans. This disease initially presents with non-specific febrile symptoms common to many viral illnesses and later progresses to disseminated intravascular coagulation (DIC) with haemorrhagic manifestations.<\/jats:p>\n               <jats:p>We present the case of a middle-aged man with CCHF. He presented to the hospital with DIC and acute compartment syndrome in the right forearm, requiring urgent orthopaedic intervention. The diagnosis was delayed because there was no clear history of contact. The patient was started taking ribavirin on the fifth day of hospital admission. He recovered fully.<\/jats:p>","DOI":"10.1136\/bcr-2019-232323","type":"journal-article","created":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T04:55:13Z","timestamp":1581051313000},"page":"e232323","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Crimean-Congo haemorrhagic fever presenting with acute compartment syndrome of the extremities (think beyond normal infections)"],"prefix":"10.1136","volume":"13","author":[{"given":"Ishma","family":"Aijazi","sequence":"first","affiliation":[{"name":"Internal Medicine, Dubai Hospital, Dubai, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fadhil Mustafa Abdulla","family":"Al Shama","sequence":"additional","affiliation":[{"name":"Internal Medicine, Dubai Hospital, Dubai, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaseen","family":"Shandala","sequence":"additional","affiliation":[{"name":"Orthopedic Department, Dubai Health Authority, Dubai, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rupa Murthy","family":"Varghese","sequence":"additional","affiliation":[{"name":"Virology, Dubai Health Authority, Dubai, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"key":"2025082709563167000_13.2.e232323.1","doi-asserted-by":"crossref","DOI":"10.4103\/0974-777X.83537","article-title":"An update on crimean Congo hemorrhagic fever","volume":"3","author":"Appannanavar","year":"2011","journal-title":"J Glob Infect Dis"},{"key":"2025082709563167000_13.2.e232323.2","first-page":"21","article-title":"Viral hemorrhagic fevers","volume":"12","author":"Lacy","year":"1996","journal-title":"Adv Pediatr Infect Dis"},{"key":"2025082709563167000_13.2.e232323.3","doi-asserted-by":"publisher","DOI":"10.3201\/eid1812.120718"},{"key":"2025082709563167000_13.2.e232323.4","doi-asserted-by":"publisher","DOI":"10.1007\/BF01740819"},{"key":"2025082709563167000_13.2.e232323.5","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-009-0728-2"},{"key":"2025082709563167000_13.2.e232323.6","doi-asserted-by":"crossref","first-page":"1958","DOI":"10.3201\/eid1812.120710","article-title":"Diagnostic assays for Crimean-Congo hemorrhagic fever","volume":"18","author":"Vanhomwegen","year":"2012","journal-title":"Emerg Infect Dis"},{"key":"2025082709563167000_13.2.e232323.7","doi-asserted-by":"crossref","first-page":"210","DOI":"10.5001\/omj.2013.57","article-title":"A case of Crimean-Congo hemorrhagic fever in Oman","volume":"28","author":"Al-Zadjali","year":"2013","journal-title":"Oman Med J"},{"key":"2025082709563167000_13.2.e232323.8","doi-asserted-by":"publisher","DOI":"10.1093\/jmedent\/15.4.307"},{"key":"2025082709563167000_13.2.e232323.9","first-page":"86","article-title":"Congo virus: a hitherto undescribed virus occurring in Africa. 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