An Atypical Case of Middle East Respiratory Syndrome in a Returning Traveler to Korea from Kuwait, 2018
Identifieur interne : 000A67 ( Main/Exploration ); précédent : 000A66; suivant : 000A68An Atypical Case of Middle East Respiratory Syndrome in a Returning Traveler to Korea from Kuwait, 2018
Auteurs : Song Lee Bak ; Kang Il Jun ; Jongtak Jung ; Jeong-Han Kim ; Chang Kyung Kang ; Wan Beom Park ; Nam-Joong Kim ; Myoung-Don OhSource :
- Journal of Korean Medical Science [ 1011-8934 ] ; 2018.
Descripteurs français
- KwdFr :
- ARN viral (métabolisme), Adulte d'âge moyen, Alanine transaminase (sang), Aspartate aminotransferases (sang), Coronavirus du syndrome respiratoire du Moyen-Orient (génétique), Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification), Expectoration (virologie), Humains, Infections à coronavirus (diagnostic), Infections à coronavirus (virologie), Koweït, Leucopénie (étiologie), Mâle, République de Corée, Voyage.
- MESH :
- diagnostic : Infections à coronavirus.
- génétique : Coronavirus du syndrome respiratoire du Moyen-Orient.
- isolement et purification : Coronavirus du syndrome respiratoire du Moyen-Orient.
- métabolisme : ARN viral.
- sang : Alanine transaminase, Aspartate aminotransferases.
- virologie : Expectoration, Infections à coronavirus.
- étiologie : Leucopénie.
- Adulte d'âge moyen, Humains, Koweït, Mâle, République de Corée, Voyage.
- Wicri :
- geographic : Koweït.
English descriptors
- KwdEn :
- Alanine Transaminase (blood), Aspartate Aminotransferases (blood), Coronavirus Infections (diagnosis), Coronavirus Infections (virology), Humans, Kuwait, Leukopenia (etiology), Male, Middle Aged, Middle East Respiratory Syndrome Coronavirus (genetics), Middle East Respiratory Syndrome Coronavirus (isolation & purification), RNA, Viral (metabolism), Republic of Korea, Sputum (virology), Travel.
- MESH :
- chemical , blood : Alanine Transaminase, Aspartate Aminotransferases.
- chemical , metabolism : RNA, Viral.
- geographic : Kuwait, Republic of Korea.
- diagnosis : Coronavirus Infections.
- etiology : Leukopenia.
- genetics : Middle East Respiratory Syndrome Coronavirus.
- isolation & purification : Middle East Respiratory Syndrome Coronavirus.
- virology : Coronavirus Infections, Sputum.
- Humans, Male, Middle Aged, Travel.
Abstract
We report a case of Middle East respiratory syndrome coronavirus (MERS-CoV) infection in a 61-year-old businessman returning from Kuwait. The patient arrived there on August 16, 2018, developed watery diarrhea on August 28 (day 0), and came back to Korea on September 7 (day 10) as his condition worsened. Upon arrival, he complained of diarrhea and weakness, but denied any respiratory symptoms, and he directly went to visit an emergency room. Chest radiography revealed interstitial infiltrates in the lungs, and he was immediately transferred to an isolation unit. Quantitative real-time PCR analysis of sputum samples taken on day 11 returned positive for MERS-CoV. No secondary MERS-CoV infection was identified among people who had close contact with him. This case underscores the importance of a high index of suspicion of MERS-CoV infection in any febrile patients who present after a trip to the Middle East.
Url:
DOI: 10.3346/jkms.2018.33.e348
PubMed: 30595687
PubMed Central: 6306328
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>We report a case of Middle East respiratory syndrome coronavirus (MERS-CoV) infection in a 61-year-old businessman returning from Kuwait. The patient arrived there on August 16, 2018, developed watery diarrhea on August 28 (day 0), and came back to Korea on September 7 (day 10) as his condition worsened. Upon arrival, he complained of diarrhea and weakness, but denied any respiratory symptoms, and he directly went to visit an emergency room. Chest radiography revealed interstitial infiltrates in the lungs, and he was immediately transferred to an isolation unit. Quantitative real-time PCR analysis of sputum samples taken on day 11 returned positive for MERS-CoV. No secondary MERS-CoV infection was identified among people who had close contact with him. This case underscores the importance of a high index of suspicion of MERS-CoV infection in any febrile patients who present after a trip to the Middle East.</p>
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