en Infectious Diseases Infectious Diseases Original Article Original Article Background: Crimean-congo hemorrhagic fever (CCHF) is an acute tick-borne viral, zoonotic disease with hemorrhagic manifestations and considerable mortality in humans. The purpose of this study was to introduce CCHF as a case report from Babol, north of Iran. It is known as an endemic pathogen in some regions of Iran.<br>Case presentation: We present a case of CCHF suffering from sudden onset of fever, headache, nausea, vomiting, melena and hemorrhagic manifestations like petechiae and epistaxis accompanied with evidence of ticks bite in a non-endemic area in the north of Iran. The laboratory dignosis was CCHF. He was treated with ribavirin and recovered completely.<br>Conclusion: CCHF may be seen in non- endemic regions and clinicians must be awarded about its diagnosis and treatment. Crimean-congo hemorrhagic fever, Ribavirin, Epidemiology, North of Iran 617 620 http://caspjim.com/browse.php?a_code=A-10-62-121&slc_lang=en&sid=1 Mahmood Sadeghi 1003194753284600684 1003194753284600684 Yes Ali Jabbari 1003194753284600685 1003194753284600685 No Masomeh Bayani 1003194753284600686 1003194753284600686 No Ebrahim Alijanpour 1003194753284600687 1003194753284600687 No Mostafa Javaniyan 1003194753284600688 1003194753284600688 No Seyed Ahmad Asgharzadeh 1003194753284600689 1003194753284600689 No