Crimean-Congo Hemorrhagic Fever, Spain, 2013–2021

Crimean-Congo hemorrhagic fever (CCHF) is a viral infectious disease for which distribution of the main vector, Hyalomma spp. ticks, is expanding. We analyzed all 10 cases of CCHF diagnosed in Spain during 2013–2021; case-patient median age was 56.5 years, and 7 were men. We identified CCHF virus g...

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Main Authors: Helena Miriam Lorenzo Juanes, Cristina Carbonell, Begoña Febrer Sendra, Amparo López-Bernus, Alberto Bahamonde, Alberto Orfao, Carmen Vieira Lista, María Sánchez Ledesma, Ana Isabel Negredo, Beatriz Rodríguez-Alonso, Beatriz Rey Bua, María Paz Sánchez-Seco, Juan Luis Muñoz Bellido, Antonio Muro, Moncef Belhassen-García
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2023-02-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/29/2/22-0677_article
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author Helena Miriam Lorenzo Juanes
Cristina Carbonell
Begoña Febrer Sendra
Amparo López-Bernus
Alberto Bahamonde
Alberto Orfao
Carmen Vieira Lista
María Sánchez Ledesma
Ana Isabel Negredo
Beatriz Rodríguez-Alonso
Beatriz Rey Bua
María Paz Sánchez-Seco
Juan Luis Muñoz Bellido
Antonio Muro
Moncef Belhassen-García
author_facet Helena Miriam Lorenzo Juanes
Cristina Carbonell
Begoña Febrer Sendra
Amparo López-Bernus
Alberto Bahamonde
Alberto Orfao
Carmen Vieira Lista
María Sánchez Ledesma
Ana Isabel Negredo
Beatriz Rodríguez-Alonso
Beatriz Rey Bua
María Paz Sánchez-Seco
Juan Luis Muñoz Bellido
Antonio Muro
Moncef Belhassen-García
author_sort Helena Miriam Lorenzo Juanes
collection DOAJ
description Crimean-Congo hemorrhagic fever (CCHF) is a viral infectious disease for which distribution of the main vector, Hyalomma spp. ticks, is expanding. We analyzed all 10 cases of CCHF diagnosed in Spain during 2013–2021; case-patient median age was 56.5 years, and 7 were men. We identified CCHF virus genotypes III and V. Six case-patients acquired the infection in urban areas. Sixty percent of patients were infected in summer and 40% in spring. Two patients met criteria for hemophagocytic syndrome. Seven patients survived. The epidemiologic pattern of CCHF in Spain is based on occasional cases with an elevated mortality rate. Genotype III and, to a less extent also genotype V, CCHF circulates in humans in a common geographic area in Spain. Those data suggest that the expansion pathways are complex and may change over time. Physicians should remain alert to the possibility of new CCHF cases.
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spelling doaj.art-bbb573f9188f484c958b447a43fe3bfe2023-01-23T18:21:44ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592023-02-0129225225910.3201/eid2902.220677Crimean-Congo Hemorrhagic Fever, Spain, 2013–2021Helena Miriam Lorenzo JuanesCristina CarbonellBegoña Febrer SendraAmparo López-BernusAlberto BahamondeAlberto OrfaoCarmen Vieira ListaMaría Sánchez LedesmaAna Isabel NegredoBeatriz Rodríguez-AlonsoBeatriz Rey BuaMaría Paz Sánchez-SecoJuan Luis Muñoz BellidoAntonio MuroMoncef Belhassen-García Crimean-Congo hemorrhagic fever (CCHF) is a viral infectious disease for which distribution of the main vector, Hyalomma spp. ticks, is expanding. We analyzed all 10 cases of CCHF diagnosed in Spain during 2013–2021; case-patient median age was 56.5 years, and 7 were men. We identified CCHF virus genotypes III and V. Six case-patients acquired the infection in urban areas. Sixty percent of patients were infected in summer and 40% in spring. Two patients met criteria for hemophagocytic syndrome. Seven patients survived. The epidemiologic pattern of CCHF in Spain is based on occasional cases with an elevated mortality rate. Genotype III and, to a less extent also genotype V, CCHF circulates in humans in a common geographic area in Spain. Those data suggest that the expansion pathways are complex and may change over time. Physicians should remain alert to the possibility of new CCHF cases. https://wwwnc.cdc.gov/eid/article/29/2/22-0677_articleCrimean-Congo hemorrhagic fever virushemorrhagic fevervirusestick-borne infectionszoonosesSpain
spellingShingle Helena Miriam Lorenzo Juanes
Cristina Carbonell
Begoña Febrer Sendra
Amparo López-Bernus
Alberto Bahamonde
Alberto Orfao
Carmen Vieira Lista
María Sánchez Ledesma
Ana Isabel Negredo
Beatriz Rodríguez-Alonso
Beatriz Rey Bua
María Paz Sánchez-Seco
Juan Luis Muñoz Bellido
Antonio Muro
Moncef Belhassen-García
Crimean-Congo Hemorrhagic Fever, Spain, 2013–2021
Emerging Infectious Diseases
Crimean-Congo hemorrhagic fever virus
hemorrhagic fever
viruses
tick-borne infections
zoonoses
Spain
title Crimean-Congo Hemorrhagic Fever, Spain, 2013–2021
title_full Crimean-Congo Hemorrhagic Fever, Spain, 2013–2021
title_fullStr Crimean-Congo Hemorrhagic Fever, Spain, 2013–2021
title_full_unstemmed Crimean-Congo Hemorrhagic Fever, Spain, 2013–2021
title_short Crimean-Congo Hemorrhagic Fever, Spain, 2013–2021
title_sort crimean congo hemorrhagic fever spain 2013 2021
topic Crimean-Congo hemorrhagic fever virus
hemorrhagic fever
viruses
tick-borne infections
zoonoses
Spain
url https://wwwnc.cdc.gov/eid/article/29/2/22-0677_article
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