This image was captured on August 13, 2013, during a Pakistani Field Epidemiology Training Program (FETP) investigation, when this Crimean-Congo haemorrhagic fever (CCHF) case was admitted to the isolation center at T.B Sanatorium Hospital in Quetta, Pakistan. The patient, was a young 20 year-old day laborer, and a resident of Killi Lundaii, in the town of Kuchlak, in Quetta District.
On August 7th he developed a high grade fever with rigors and chills, followed by nausea, vomiting, and heavy bleeding from the mouth. Five days later he was taken to the Civil Hospital of Quetta, and was then shifted to an isolation center for CCHF. In the picture, his blood sample had just been taken and sent for CCHF-PCR (polymerase chain reaction). A review of his history, and an investigation was carried out using hospital records, along with personal interviews with concerned hospital staff. Active contact tracing was undertaken among the family, friends, and staff of the Medical ICU, where he was treated. The patient was found to have no travel history, or contact with animals. He ate beef he’d cooked the night before he fell ill.
For more on CCHF, or the FETP, see the links below.