Evidence map›Paper›PMID 40872295›Full record

ArticlePathogens (Basel, Switzerland)2025

Molecular and Clinical Characterization of Crimean-Congo Hemorrhagic Fever in Bulgaria, 2015-2024.

Kim Ngoc, Ivan Stoikov, Ivelina Trifonova, Elitsa Panayotova, Evgenia Taseva, Iva Trifonova, Iva Christova

Abstract read
In one paragraph

Article in Pathogens (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kim NgocDepartment of Microbiology, National Center of Infectious and Parasitic Diseases, 1504 Sofia, Bulgaria.
Ivan StoikovDepartment of Microbiology, National Center of Infectious and Parasitic Diseases, 1504 Sofia, Bulgaria.ORCID 0000-0002-9924-8553
Ivelina TrifonovaDepartment of Virology, National Center of Infectious and Parasitic Diseases, 1233 Sofia, Bulgaria.ORCID 0000-0002-4543-6831
Elitsa PanayotovaDepartment of Microbiology, National Center of Infectious and Parasitic Diseases, 1504 Sofia, Bulgaria.
Evgenia TasevaDepartment of Microbiology, National Center of Infectious and Parasitic Diseases, 1504 Sofia, Bulgaria.
Iva TrifonovaDepartment of Microbiology, National Center of Infectious and Parasitic Diseases, 1504 Sofia, Bulgaria.
Iva ChristovaDepartment of Microbiology, National Center of Infectious and Parasitic Diseases, 1504 Sofia, Bulgaria.ORCID 0000-0002-7878-3995

Funding

CCHFVACIM project, Horizon Europe 101137033
6 · The paper itself

Abstract

Crimean-Congo hemorrhagic fever (CCHF) is a zoonotic viral disease endemic to parts of Africa, Asia and southeastern Europe. Bulgaria is one of the few European countries with the consistent annual reporting of human CCHF cases. This study provides a descriptive overview of 24 confirmed CCHF cases in Bulgaria between 2015 and 2024. Laboratory confirmation was performed by an enzyme-linked immunosorbent assay (ELISA) and/or real-time reverse transcriptase polymerase chain reaction (RT-qPCR) testing. Common findings included fever, fatigue, gastrointestinal symptoms, thrombocytopenia, leukopenia, liver dysfunction and coagulopathy. Two fatal cases were recorded. Two samples collected in 2016 and 2024 were subjected to whole-genome sequencing. Phylogenetic analysis showed that both strains clustered within the Turkish branch of the Europe 1 genotype and shared high genetic similarity with previous Bulgarian strains, as well as strains from neighboring countries. These findings suggest the long-term persistence of a genetically stable viral lineage in the region. Continuous molecular and clinical surveillance is necessary to monitor the evolution and public health impact of CCHFV in endemic areas.

Indexed as

Hemorrhagic Fever, CrimeanHemorrhagic Fever Virus, Crimean-CongoAgedBulgariaEnzyme-Linked Immunosorbent AssayFemaleGenome, ViralGenotypeHumansPhylogenyReal-Time Polymerase Chain ReactionSequence AnalysisWhole Genome SequencingBulgariaCrimean–Congo hemorrhagic fevertick-borne infections

Identifiers

PMID40872295
PMCPMC12389410

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.