{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T06:25:00Z","timestamp":1789453500533,"version":"build-2803163510"},"reference-count":9,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,1,26]],"date-time":"2025-01-26T00:00:00Z","timestamp":1737849600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"German Ministry of Foreign Affairs","award":["ZMV-162513AA0277"],"award-info":[{"award-number":["ZMV-162513AA0277"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Viruses"],"abstract":"<jats:p>Crimean\u2013Congo hemorrhagic fever (CCHF) is fatal in 10 to 40% of cases. It is caused by CCHF virus (CCHFV). Symptoms include fever, headache, myalgia, and often hemorrhage and other complications. This report shows that CCHF may resemble HELLP syndrome (hemolysis, elevated liver enzymes, low platelets). We report CCHF in a pregnant mother with fever and suspected HELLP syndrome, who survived, and her infant (week 36), who died six days after C-section. The high CCHF viral load and bacterial sepsis may have jointly contributed to the death of the infant. CCHF should be considered as a differential diagnosis of HELLP syndrome in regions where this viral disease is endemic.<\/jats:p>","DOI":"10.3390\/v17020178","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T04:59:10Z","timestamp":1737953950000},"page":"178","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Crimean\u2013Congo Hemorrhagic Fever Mimicking HELLP Syndrome in a Pregnant Woman and Her Infant in Kosovo: A Case Report"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3488-7044","authenticated-orcid":false,"given":"Lindita","family":"Ajazaj-Berisha","sequence":"first","affiliation":[{"name":"Infectious Diseases Hospital, University Clinical Center of Kosovo, 10000 Prishtina, Kosovo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bahrije","family":"Halili","sequence":"additional","affiliation":[{"name":"Infectious Diseases Hospital, University Clinical Center of Kosovo, 10000 Prishtina, Kosovo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vera","family":"Ndrejaj","sequence":"additional","affiliation":[{"name":"Infectious Diseases Hospital, University Clinical Center of Kosovo, 10000 Prishtina, Kosovo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kurtesh","family":"Sherifi","sequence":"additional","affiliation":[{"name":"Faculty of Agriculture and Veterinary, University of Prishtina \u201cHasan Prishtina\u201d, 10000 Prishtina, Kosovo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xhevat","family":"Jakupi","sequence":"additional","affiliation":[{"name":"National Institute of Public Health of Kosovo, 10000 Pristina, Kosovo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Priesnitz","sequence":"additional","affiliation":[{"name":"Bundeswehr-Krankenhaus (German Armed Forces Hospital), Lesserstra\u00dfe 180, 22049 Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5650-5639","authenticated-orcid":false,"given":"Christoph J.","family":"Hemmer","sequence":"additional","affiliation":[{"name":"Department of Tropical Medicine and Infectious Diseases, Center of Internal Medicine, University Medicine Rostock, Ernst-Heydemann-Strasse 6, 18055 Rostock, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salih","family":"Ahmeti","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University \u201cHasan Prishtina\u201d, 10000 Pristina, Kosovo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5093-4539","authenticated-orcid":false,"given":"Petra","family":"Emmerich","sequence":"additional","affiliation":[{"name":"Department of Tropical Medicine and Infectious Diseases, Center of Internal Medicine, University Medicine Rostock, Ernst-Heydemann-Strasse 6, 18055 Rostock, Germany"},{"name":"Department of Virology, Bernhard Nocht Institute of Tropical Medicine, 20359 Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"847","DOI":"10.3201\/eid3005.231646","article-title":"State of the Clinical Science Working Group of the National Emerging Pathogens Training and Education Center\u2019s Special Pathogens Research Network. 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J."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.ijid.2017.02.019","article-title":"Crimean-Congo hemorrhagic fever in pregnancy: A systematic review and case series from Russia, Kazakhstan and Turkey","volume":"58","author":"Pshenichnaya","year":"2017","journal-title":"Int. J. Infect. Dis."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1111\/j.1469-0691.2009.02905.x","article-title":"Pregnancy and Crimean-Congo haemorrhagic fever","volume":"16","author":"Ergonul","year":"2010","journal-title":"Clin. Microbiol. Infect."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.jhin.2019.12.001","article-title":"Nosocomial infections caused by Crimean-Congo haemorrhagic fever virus","volume":"105","author":"Tsergouli","year":"2020","journal-title":"J. Hosp. 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