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January 22, 2026Pathogens and Global Health1 citations

New markers predicting prognosis in patients with Crimean-Congo hemorrhagic fever: HDL cholesterol and eosinophil levels

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NÇNeslihan ÇelikELE. Laloğlu

Key Points

  • The aim is to evaluate HDL cholesterol and eosinophil levels as predictors of prognosis in Crimean-Congo hemorrhagic fever.
  • Included 60 patients diagnosed with CCHF based on RT-PCR tests.
  • Conducted a retrospective analysis of clinical and laboratory data.
  • Grouped patients by disease severity and compared lipid levels (HDL, LDL, cholesterol, triglycerides).
  • Investigated correlations between eosinophil levels and disease severity.
  • Negative correlations were found between HDL, LDL, cholesterol levels and increasing disease severity.
  • No significant difference in triglyceride levels among severity groups.
  • Eosinophil counts also showed a negative correlation with disease severity.
  • HDL and eosinophils demonstrated the strongest correlations with disease prognosis.

Abstract

Crimean-Congo hemorrhagic fever (CCHF) is a potentially fatal zoonotic disease caused by a tick-borne virus from the genus Orthonairovirus. This study investigates the feasibility of using high-density lipoprotein (HDL) and eosinophils as novel parameters in determining the prognosis of the disease. Sixty patients with CCHF admitted to our hospital's infectious diseases ward between March and September 2022 were included in the study. The patients'CCHF reverse transcriptase (RT)-PCR tests performed on blood samples were positive. Their recorded clinical findings and routine laboratory, biochemistry, complete blood count, and coagulation tests were investigated retrospectively. The patients'demographic, clinical, and laboratory data were recorded, and the disease severity was scored. The patients were then assigned into one of three groups depending on that severity. HDL, low-density lipoprotein (LDL), cholesterol, and triglyceride values were compared between the groups. Negative correlations were observed between HDL, LDL, and cholesterol values and increasing disease severity, while no difference was determined between the groups' triglyceride values. Eosinophil values were also negatively correlated with disease severity between the three groups. The most marked correlations with disease severity were observed in HDL and eosinophils. New scoring systems for determining the prognosis of CCHF have been investigated in recent years. HDL and eosinophil levels may represent the most important prognostic parameters in these novel scoring systems.

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Cite This Study

Çelik et al. (2026) studied this question.

synapsesocial.com/papers/6971bd90642b1836717e244ahttps://doi.org/10.1080/20477724.2026.2618468
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