Turkish Journal of Physical Medicine and Rehabilitation 2010 , Vol 56 , Num 4
Median, Ulnar and Femoral Neuropathy in a Patient with Crimean-Congo Hemorrhagic Feve
Halil Uçan 1 ,Mehmet Mustafa Açıl 2 ,Sibel Mandıroğlu 3 ,Müfit Akyüz 4 ,Cem Hatipoğlu 5
1 Turkish Ministry of Health, Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey
2 Ankara Fizik Tedavi ve Rehabilitasyon Eğitimi ve Araştırma Hastanesi, Fizik Tedavi Kliniği, Ankara, Türkiye
3 T.c. Sağlık Bakanlığı Ankara Fizik Tedavi ve Rehabilitasyon Eğitim ve Araştırma Hastanesi, Ankara
4 Ankara Fizik Tedavi ve Rehabilitasyon Eğitim ve Araştırma Hastanesi, Ankara, Türkiye
5 Ankara Fizik Tedavi ve Rehabilitasyon Eğitim ve Araştırma Hastanesi, Radyoloji Ünitesi, Ankara, Türkiye
DOI : 10.4274/tftr.56.196

Crimean-Congo hemorrhagic fever (CCHF) is an acute, tick-borne viral disease with severe hemorrhagic manifestations, high mortality rate and potential of man-to-man transmission and affects almost only humans. We report a 17-year-old female patient with right median and ulnar neuropathy and left femoral neuropathy, who had been treated for  CCHF six months before. In the literature, we found only one case, in which median and ulnar neuropathy due to compartment syndrome during the course of CCHF has been reported. We are of the opinion that it should be kept in mind that median and ulnar neuropathy due to compartment syndrome and femoral neuropathy due to compression from iliopsoas hemorrhage or due to compartment syndrome resulting from hemorrhage within the iliacus fascia may develop in the course of CCHF. 

Keywords : Crimean-Congo hemorrhagic fever, neuropathy, compartment syndrome