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Middle East Respiratory Syndrome Coronavirus Infection Microchapters |
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Differentiating Middle East Respiratory Syndrome Coronavirus Infection from other Diseases |
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Directions to Hospitals Treating Middle East respiratory syndrome coronavirus infection |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The symptoms of the middle east respiratory syndrome coronavirus infection include fever, cough, shortness of breath and gatsrointestinal symptoms.
History and Symptoms
| Symptom | Percentage |
|---|---|
| Fever Fever with chills or rigors |
98% 87% |
| Cough Dry Productive |
83% 47% 36% |
| Hemoptysis | 17% |
| Shortnes of breath | 72% |
| Chest Pain | 15% |
| Sore throat | 21% |
| Runny Nose | 4% |
| Abdominal Pain | 17% |
| Nausea | 21% |
| Vomiting | 21% |
| Diarrhoea | 26% |
| Myalgia | 32% |
| Headache | 13% |
Suspect MERS-CoV infection in case of:
- Fever (≥38°C, 100.4°F) and pneumonia or acute respiratory distress syndrome (based on clinical or radiological evidence);
AND EITHER
- History of travel from countries in or near the Arabian Peninsula1 within 14 days before symptom onset;
OR
- Close contact2 with a symptomatic traveler who developed fever and acute respiratory illness (not necessarily pneumonia) within 14 days after traveling from countries in or near the Arabian Peninsula;
OR
- Is a member of a cluster of patients with severe acute respiratory illness (e.g. fever and pneumonia requiring hospitalization) of unknown etiology in which MERS-CoV is being evaluated, in consultation with state and local health departments.
Symptoms
- Fever (98%)
- Cough (83%)
- Shortness of breath (72%)
- Gastrointestinal symptoms
- Diarrhea (26%)
- Vomiting (21%)
All but two patients (96%) had one or more chronic medical conditions, including diabetes (68%), hypertension (34%), heart disease (28%), and kidney disease (49%). Thirty-four (72%) had more than one chronic condition. In a retrospective study on 47 patients with MERS-CoV infection, 42 (89%) needed intensive care and 34 (72%) had mechanical ventilation.[1]
References
- ↑ Assiri A, Al-Tawfiq JA, Al-Rabeeah AA, Al-Rabiah FA, Al-Hajjar S, Al-Barrak A; et al. (2013). "Epidemiological, demographic, and clinical characteristics of 47 cases of Middle East respiratory syndrome coronavirus disease from Saudi Arabia: a descriptive study". Lancet Infect Dis. 13 (9): 752–61. doi:10.1016/S1473-3099(13)70204-4. PMID 23891402.