ICD-11 code : 1D49;
Preferred Label : Crimean-Congo haemorrhagic fever;
ICD-11 definition : A disease caused by an infection with Crimean-Congo haemorrhagic fever virus. The
length of the incubation period depends on the mode of acquisition of the virus. Following
infection by a tick bite, the incubation period is usually one to three days, with
a maximum of nine days. The incubation period following contact with infected blood
or tissues is usually five to six days, with a documented maximum of 13 days. Onset
of symptoms is sudden, with fever, myalgia, (muscle ache), dizziness, neck pain and
stiffness, backache, headache, sore eyes and photophobia (sensitivity to light). There
may be nausea, vomiting, diarrhoea, abdominal pain and sore throat early on, followed
by sharp mood swings and confusion. After two to four days, the agitation may be replaced
by sleepiness, depression and lassitude, and the abdominal pain may localize to the
upper right quadrant, with detectable hepatomegaly (liver enlargement). Other clinical
signs include tachycardia (fast heart rate), lymphadenopathy (enlarged lymph nodes),
and a petechial rash (a rash caused by bleeding into the skin) on internal mucosal
surfaces, such as in the mouth and throat, and on the skin. The petechiae may give
way to larger rashes called ecchymoses, and other haemorrhagic phenomena. There is
usually evidence of hepatitis, and severely ill patients may experience rapid kidney
deterioration, sudden liver failure or pulmonary failure after the fifth day of illness.
The mortality rate from CCHF is approximately 30%, with death occurring in the second
week of illness. In patients who recover, improvement generally begins on the ninth
or tenth day after the onset of illness. The CCHF virus is transmitted to people either
by tick bites or through contact with infected animal blood or tissues during and
immediately after slaughter. The majority of cases have occurred in people involved
in the livestock industry, such as agricultural workers, slaughterhouse workers and
veterinarians. Human-to-human transmission can occur resulting from close contact
with the blood, secretions, organs or other bodily fluids of infected persons. Hospital-acquired
infections can also occur due to improper sterilization of medical equipment, reuse
of needles and contamination of medical supplies. Laboratory diagnosis of the infection
during the acute phase of illness consists of detection of viral nucleic acid or or
by demonstration of viral antigen by enzyme-linked immunoassay from serum or plasma
samples. In samples collected later during the illness, diagnosis is confirmed by
demonstration of specific IgG and IgM antibodies.;
ICD-11 synonym : Kara mikh typhoid fever; CCHF - [Crimean-Congo haemorrhagic fever]; Xīnjiāng hemorrhagic fever;
ICD-11 acronym : CCHF;
Origin ID : 1562906700;
UMLS CUI : C0019099;
Automatic exact mappings (from CISMeF team)
Currated CISMeF NLP mapping
ICD-10 Mapping
Semantic type(s)
UMLS correspondences (same concept)
A disease caused by an infection with Crimean-Congo haemorrhagic fever virus. The
length of the incubation period depends on the mode of acquisition of the virus. Following
infection by a tick bite, the incubation period is usually one to three days, with
a maximum of nine days. The incubation period following contact with infected blood
or tissues is usually five to six days, with a documented maximum of 13 days. Onset
of symptoms is sudden, with fever, myalgia, (muscle ache), dizziness, neck pain and
stiffness, backache, headache, sore eyes and photophobia (sensitivity to light). There
may be nausea, vomiting, diarrhoea, abdominal pain and sore throat early on, followed
by sharp mood swings and confusion. After two to four days, the agitation may be replaced
by sleepiness, depression and lassitude, and the abdominal pain may localize to the
upper right quadrant, with detectable hepatomegaly (liver enlargement). Other clinical
signs include tachycardia (fast heart rate), lymphadenopathy (enlarged lymph nodes),
and a petechial rash (a rash caused by bleeding into the skin) on internal mucosal
surfaces, such as in the mouth and throat, and on the skin. The petechiae may give
way to larger rashes called ecchymoses, and other haemorrhagic phenomena. There is
usually evidence of hepatitis, and severely ill patients may experience rapid kidney
deterioration, sudden liver failure or pulmonary failure after the fifth day of illness.
The mortality rate from CCHF is approximately 30%, with death occurring in the second
week of illness. In patients who recover, improvement generally begins on the ninth
or tenth day after the onset of illness. The CCHF virus is transmitted to people either
by tick bites or through contact with infected animal blood or tissues during and
immediately after slaughter. The majority of cases have occurred in people involved
in the livestock industry, such as agricultural workers, slaughterhouse workers and
veterinarians. Human-to-human transmission can occur resulting from close contact
with the blood, secretions, organs or other bodily fluids of infected persons. Hospital-acquired
infections can also occur due to improper sterilization of medical equipment, reuse
of needles and contamination of medical supplies. Laboratory diagnosis of the infection
during the acute phase of illness consists of detection of viral nucleic acid or or
by demonstration of viral antigen by enzyme-linked immunoassay from serum or plasma
samples. In samples collected later during the illness, diagnosis is confirmed by
demonstration of specific IgG and IgM antibodies.