Akademik Veri Yönetim Sistemi
Turk Hijyen ve Deneysel Biyoloji Dergisi, cilt.72, sa.2, ss.109-114, 2015 (Scopus)
Objective: Crimean-Congo Hemorrhagic Fever (CCHF) is a potentially fatal disease which transmitted by ticks. There are four clinical course of disease including incubation, prehemorrhagic, hemorrhagic and convalescent period. The disease is not likely to occur for each tick bite, so tick bite cases could be follow outpatient and laboratory tests are not indicated. In this study, the clinical and laboratory properties of patients who presented with tick bite to our pediatric emergency department were evaluated. Method: Asymptomatic tick bite cases, were who admitted to the Ankara University Pediatric Emergency Department, between January 2012 and December 2013, were investigated retrospectively. Gender, age, region cling to the body of the tick, physical examination and laboratory tests of cases and the person who removed out tick, were analyzed. Cases having symptoms like fever, weakness, abdominal pain, headache, muscle pain etc. in addition to tick bite, were not included in the study. Results: Total of 84 cases composed of 54 (64.3%) male and 30 (35.7%) female, who presented symptoms of tick bite were evaluated. The average age of the cases was found to be 6.49 ± 3.77 (4 months-15. 5 years). The most common application has been in August with a number of 20 (23.8%) cases. The head and neck was found to be most frequently (50%) attached region by ticks. In 79.2% of cases, the tick were removed out by a doctor. It was determined that in 75 (89.3%) cases complete blood count tests, in 45 (53.6%) cases liver function tests and in 64 (76.2%) cases haemostasis panel tests were performed. All laboratory results were found to be within normal reference ranges. Conclusion: Tick-transmitted diseases remain up to date because of leading to a fatal disease and the increased number of cases over the years. As a result, in cases with complaints of tick bite, the findings of the disease should be explained after careful physical examination. If sudden fever, head and muscle aches, fatigue symptoms occur within ten days, it should be noted that they must apply again. In these cases ambulatory monitoring seems appropriate. The laboratory tests were seen to be ineffective in the early stages of asymptomatic cases.