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Case Report

Crimean-Congo haemorrhagic fever presenting with undiagnosed chronic myeloid leukaemia

DOI: 10.1080/23120053.2017.1345493
Author(s): Marius J Coetzee Department of Haematology and Cell Biology, South Africa , Lucille H Blumberg Centre for Emerging and Zoonotic Diseases, National Institute for Communicable Diseases of the National Health Laboratory Service, South Africa , Janusz T Paweska Special Pathogens Unit, South Africa , Pat Leman Special Pathogens Unit, South Africa , Robert Swanepoel Special Pathogens Unit, South Africa , André de Kock Department of Haematology and Cell Biology, South Africa

Abstract

A patient with Crimean-Congo haemorrhagic fever (CCHF) presented with a high white cell count and splenomegaly. Underlying chronic myeloid leukaemia was diagnosed. The management of this complex case was difficult, and the patient demised. This case illustrates that in patients with an acute febrile illness with haemorrhage, a thorough history and examination, as well as a high index of suspicion for concurrent conditions, is important.

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