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oai:gredos.usal.es:10366/1709322026-04-14T00:01:12Zcom_10366_4019com_10366_3947com_10366_3946com_10366_3823col_10366_4020

Crimean-Congo hemorrhagic fever, Spain, 2013-2021 Lorenzo Juanes, Helena Miriam Carbonell Muñoz, Cristina Febrer Sendra, Begoña López Bernús, Amparo Bahamonde, Alberto Orfao de Matos Correia e Vale, José Alberto Vieira Lista, María Carmen Sánchez Ledesma, María Negredo, Ana Isabel Rodríguez Alonso, Beatriz Rey Bua, Beatriz Sánchez Seco, María Paz Muñoz Bellido, Juan Luis Muro Álvarez, Antonio Belhassen García, Moncef Crimean-Congo hemorrhagic fever CCHF Spain Hyalomma Epidemiology [EN]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. 2026-04-13T09:06:00Z 2026-04-13T09:06:00Z 2026-04-13T09:06:00Z 2023-02-02 info:eu-repo/semantics/article Lorenzo Juanes, H. M., Carbonell, C., Sendra, B. F., López-Bernus, A., Bahamonde, A., Orfao, A., Lista, C. V., Ledesma, M. S., Negredo, A. I., Rodríguez-Alonso, B., Bua, B. R., Sánchez-Seco, M. P., Muñoz Bellido, J. L., Muro, A., & Belhassen-García, M. (2023). [Rev. of Crimean-Congo Hemorrhagic Fever, Spain, 2013-2021]. Emerging infectious diseases, 29(2), 252-259. https://doi.org/10.3201/EID2902.220677 1080-6040 http://hdl.handle.net/10366/170932 10.3201/eid2902.220677 36692301 1080-6059 eng https://doi.org/10.3201/EID2902.220677 RD16/0027/0018; RD16CIII/0003/0003; IPI16/01784 http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess Attribution-NonCommercial-NoDerivatives 4.0 Internacional Centers for Disease Control and Prevention (CDC)