Crimean-Congo haemorrhagic fever presenting with undiagnosed chronic myeloid leukaemia†

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.

Keywords

• chronic myeloid leukaemia
• crimean-congo haemorrhagic fever virus
• leucocytosis
• south africa
• tick-borne diseases