Middle East respiratory syndrome coronavirus infection history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]
Overview
Symptoms of MERS-CoV typically include high-grade fever, cough, headache, dyspnea, and myalgia. Gastrointestinal symptoms such as diarrhea, vomiting, and abdominal pain may also be present.
History and Symptoms
- The majority of patients infected with MERS-CoV present with high-grade fever, headache, non-productive cough, dyspnea, and myalgia.
- Other symptoms include sore throat, coryza, sputum production, dizziness, nausea and vomiting, diarrhea, and abdominal pain.
- Atypical presentations, such afebrile mild respiratory illnesses with diarrhea preceding the development of pneumonia, have been reported.
Common Symptoms
- Symptoms associated with MERS are non-specific, with or without multisystem involvement.
- Fever (most common)
- Cough
- Hemoptysis
- Dyspnea
- Myalgia
- Diarrhea
- Sore throat
- Nausea and vomiting
- Chest pain
- Abdominal pain
- Headache
- Runny nose
- Neuromuscular manifestations include
- Hypersomnolence
- Weakness
- Tingling in the extremities similar to Guillain-Barré syndrome or virus-related sensory neuropathy.