case_images: PMC11682786_01
case_images: Regions of the Iberian Peninsula where human infections with Crimean-Congo hemorrhagic fever virus were reported. Red star indicates fatal case of Crimean-Congo hemorrhagic fever, Portugal, 2024; yellow triangle, the seropositive cases detected in the Beja district, Portugal, 1985. Blue numbered icons indicate the number of human cases reported in provinces in Spain since 2013 (Salamanca, 7; Leon, 3; Avila, 2; Badajoz, 1; Caceres, 1; Cordoba, 1; Madrid, 1; and Toledo, 1).
case_images: 24-1264-F1.jpg
case_images: PMC11682786_01_24-1264-F1.jpg
case_images: F1
case_images: He lived in the district of Braganca, in a rural environment, and mentioned participation in outdoor social events and activities from June 29-July 7; he had no history of international travel (Figure 1).
case_images: Timeline for fatal case of Crimean-Congo hemorrhagic fever, Portugal, 2024. Created using BioRender.com. CCHFV, Crimean-Congo hemorrhagic fever virus; ICU, intensive care unit; MSF, Mediterranean spotted fever; N, nucleoprotein; s.l., sensu lato; +, positive; -, negative.
case_images: 24-1264-F2.jpg
case_images: PMC11682786_01_24-1264-F2.jpg
case_images: F2
case_images: The patient died on July 22 (Figure 2). The patient's serum was positive for the IgM nucleoprotein-specific antigen at 128 titers (cutoff for positivity >16) (Figure 2).