A family cluster of Middle East Respiratory Syndrome Coronavirus infections related to a likely unrecognized asymptomatic or mild case
Identifieur interne : 002068 ( Main/Exploration ); précédent : 002067; suivant : 002069A family cluster of Middle East Respiratory Syndrome Coronavirus infections related to a likely unrecognized asymptomatic or mild case
Auteurs : Ali S. Omrani [Arabie saoudite] ; Mohammad Abdul Matin [Arabie saoudite] ; Qais Haddad [Arabie saoudite] ; Daifullah Al-Nakhli [Arabie saoudite] ; Ziad A. Memish ; Ali M. Albarrak [Arabie saoudite]Source :
- International Journal of Infectious Diseases [ 1201-9712 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Coronavirus (), Coronavirus (génétique), Coronavirus (isolement et purification), Humains, Infections de l'appareil respiratoire (diagnostic), Infections de l'appareil respiratoire (transmission), Infections de l'appareil respiratoire (épidémiologie), Infections à coronavirus (diagnostic), Infections à coronavirus (transmission), Infections à coronavirus (épidémiologie), Issue fatale, Maladies transmissibles émergentes (diagnostic), Maladies transmissibles émergentes (épidémiologie), Moyen Orient, Mâle, Poumon (anatomopathologie), Poumon (imagerie diagnostique), Surveillance sentinelle, Syndrome, Tomodensitométrie.
- MESH :
- anatomopathologie : Poumon.
- diagnostic : Infections de l'appareil respiratoire, Infections à coronavirus, Maladies transmissibles émergentes.
- génétique : Coronavirus.
- imagerie diagnostique : Poumon.
- isolement et purification : Coronavirus.
- épidémiologie : Infections de l'appareil respiratoire, Infections à coronavirus, Maladies transmissibles émergentes.
- Adulte, Adulte d'âge moyen, Coronavirus, Humains, Issue fatale, Moyen Orient, Mâle, Surveillance sentinelle, Syndrome, Tomodensitométrie.
English descriptors
- KwdEn :
- Adult, Communicable Diseases, Emerging (diagnosis), Communicable Diseases, Emerging (epidemiology), Coronavirus (classification), Coronavirus (genetics), Coronavirus (isolation & purification), Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Coronavirus Infections (transmission), Fatal Outcome, Humans, Lung (diagnostic imaging), Lung (pathology), Male, Middle Aged, Middle East, Respiratory Tract Infections (diagnosis), Respiratory Tract Infections (epidemiology), Respiratory Tract Infections (transmission), Sentinel Surveillance, Syndrome, Tomography, X-Ray Computed.
- MESH :
- classification : Coronavirus.
- diagnosis : Communicable Diseases, Emerging, Coronavirus Infections, Respiratory Tract Infections.
- diagnostic imaging : Lung.
- epidemiology : Communicable Diseases, Emerging, Coronavirus Infections, Respiratory Tract Infections.
- genetics : Coronavirus.
- isolation & purification : Coronavirus.
- pathology : Lung.
- transmission : Coronavirus Infections, Respiratory Tract Infections.
- Adult, Fatal Outcome, Humans, Male, Middle Aged, Middle East, Sentinel Surveillance, Syndrome, Tomography, X-Ray Computed.
Abstract
Ninety confirmed cases of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) have been reported to the World Health Organization. We report the details of a second family cluster of MERS-CoV infections from Riyadh, Saudi Arabia.
We present the clinical, laboratory and epidemiological details of 3 patients from a family cluster of MERS-CoV infections.
The first patient developed respiratory symptoms and fever 14 days after admission to hospital for an unrelated reason. He died 11 days later with multi-organ failure. Two of his brothers presented later to another hospital with respiratory symptoms and fever. MERS-CoV infection in the latter 2 patients was confirmed by reverse transcriptase polymerase chain reaction testing. All 3 patients had fever, cough, shortness of breath, bilateral infiltrates on chest x-ray, thrombocytopenia, lymphopenia and rises in serum creatinine kinase and alanine transaminase. No hospital or other social contacts are known to have acquired the infection. It appears that the index patient in this cluster acquired MERS-CoV infection whilst in hospital from an unrecognized mild or asymptomatic case.
MERS-CoV acquisition from unrecognized mild or asymptomatic cases may be a more important contributor to ongoing transmission than previously appreciated.
Url:
DOI: 10.1016/j.ijid.2013.07.001
PubMed: 23916548
PubMed Central: 7110537
Affiliations:
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Omrani</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Consultant Infectious Diseases Physician, Division of Infectious Diseases, Department of Medicine, Prince Sultan Military Medical City, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Consultant Infectious Diseases Physician, Division of Infectious Diseases, Department of Medicine, Prince Sultan Military Medical City, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author><author><name sortKey="Matin, Mohammad Abdul" sort="Matin, Mohammad Abdul" uniqKey="Matin M" first="Mohammad Abdul" last="Matin">Mohammad Abdul Matin</name><affiliation wicri:level="1"><nlm:aff id="aff0010">Consultant Physician, Division of Internal Medicine, Department of Medicine, Prince Sultan Military Medical City, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Consultant Physician, Division of Internal Medicine, Department of Medicine, Prince Sultan Military Medical City, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author><author><name sortKey="Haddad, Qais" sort="Haddad, Qais" uniqKey="Haddad Q" first="Qais" last="Haddad">Qais Haddad</name><affiliation wicri:level="1"><nlm:aff id="aff0015">Consultant Infectious Diseases Physician, Department of Infection Control, Security Forces Hospital, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Consultant Infectious Diseases Physician, Department of Infection Control, Security Forces Hospital, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author><author><name sortKey="Al Nakhli, Daifullah" sort="Al Nakhli, Daifullah" uniqKey="Al Nakhli D" first="Daifullah" last="Al-Nakhli">Daifullah Al-Nakhli</name><affiliation wicri:level="1"><nlm:aff id="aff0020">Director of Infection Prevention and Control, Department of Infection Prevention and Control, Prince Sultan Military Medical City, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Director of Infection Prevention and Control, Department of Infection Prevention and Control, Prince Sultan Military Medical City, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author><author><name sortKey="Memish, Ziad A" sort="Memish, Ziad A" uniqKey="Memish Z" first="Ziad A." last="Memish">Ziad A. 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Orient</term><term>Mâle</term><term>Surveillance sentinelle</term><term>Syndrome</term><term>Tomodensitométrie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Ninety confirmed cases of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) have been reported to the World Health Organization. We report the details of a second family cluster of MERS-CoV infections from Riyadh, Saudi Arabia.</p></sec><sec><title>Methods</title><p>We present the clinical, laboratory and epidemiological details of 3 patients from a family cluster of MERS-CoV infections.</p></sec><sec><title>Results</title><p>The first patient developed respiratory symptoms and fever 14 days after admission to hospital for an unrelated reason. He died 11 days later with multi-organ failure. Two of his brothers presented later to another hospital with respiratory symptoms and fever. MERS-CoV infection in the latter 2 patients was confirmed by reverse transcriptase polymerase chain reaction testing. All 3 patients had fever, cough, shortness of breath, bilateral infiltrates on chest x-ray, thrombocytopenia, lymphopenia and rises in serum creatinine kinase and alanine transaminase. No hospital or other social contacts are known to have acquired the infection. It appears that the index patient in this cluster acquired MERS-CoV infection whilst in hospital from an unrecognized mild or asymptomatic case.</p></sec><sec><title>Conclusion</title><p>MERS-CoV acquisition from unrecognized mild or asymptomatic cases may be a more important contributor to ongoing transmission than previously appreciated.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Zaki, A M" uniqKey="Zaki A">A.M. Zaki</name></author><author><name sortKey="Van Boheemen, S" uniqKey="Van Boheemen S">S. van Boheemen</name></author><author><name sortKey="Bestebroer, T M" uniqKey="Bestebroer T">T.M. Bestebroer</name></author><author><name sortKey="Osterhaus, A D" uniqKey="Osterhaus A">A.D. Osterhaus</name></author><author><name sortKey="Fouchier, R A" uniqKey="Fouchier R">R.A. 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Buchholz</name></author><author><name sortKey="Muller, M A" uniqKey="Muller M">M.A. Muller</name></author><author><name sortKey="Nitsche, A" uniqKey="Nitsche A">A. Nitsche</name></author><author><name sortKey="Sanewski, A" uniqKey="Sanewski A">A. Sanewski</name></author><author><name sortKey="Wevering, N" uniqKey="Wevering N">N. Wevering</name></author><author><name sortKey="Bauer Balci, T" uniqKey="Bauer Balci T">T. Bauer-Balci</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mailles, A" uniqKey="Mailles A">A. Mailles</name></author><author><name sortKey="Blanckaert, K" uniqKey="Blanckaert K">K. Blanckaert</name></author><author><name sortKey="Chaud, P" uniqKey="Chaud P">P. Chaud</name></author><author><name sortKey="Van Der Werf, S" uniqKey="Van Der Werf S">S. van der Werf</name></author><author><name sortKey="Lina, B" uniqKey="Lina B">B. Lina</name></author><author><name sortKey="Caro, V" uniqKey="Caro V">V. 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Cameron</name></author><author><name sortKey="Joynt, G M" uniqKey="Joynt G">G.M. Joynt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cauchemez, S" uniqKey="Cauchemez S">S. Cauchemez</name></author><author><name sortKey="Van Kerkhove, M" uniqKey="Van Kerkhove M">M. Van Kerkhove</name></author><author><name sortKey="Riley, S" uniqKey="Riley S">S. Riley</name></author><author><name sortKey="Donnelly, C" uniqKey="Donnelly C">C. Donnelly</name></author><author><name sortKey="Fraser, C" uniqKey="Fraser C">C. Fraser</name></author><author><name sortKey="Ferguson, N" uniqKey="Ferguson N">N. Ferguson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Albarrak, A M" uniqKey="Albarrak A">A.M. Albarrak</name></author><author><name sortKey="Stephens, G M" uniqKey="Stephens G">G.M. Stephens</name></author><author><name sortKey="Hewson, R" uniqKey="Hewson R">R. Hewson</name></author><author><name sortKey="Memish, Z A" uniqKey="Memish Z">Z.A. Memish</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Arabie saoudite</li></country></list><tree><noCountry><name sortKey="Memish, Ziad A" sort="Memish, Ziad A" uniqKey="Memish Z" first="Ziad A." last="Memish">Ziad A. Memish</name></noCountry><country name="Arabie saoudite"><noRegion><name sortKey="Omrani, Ali S" sort="Omrani, Ali S" uniqKey="Omrani A" first="Ali S." last="Omrani">Ali S. Omrani</name></noRegion><name sortKey="Al Nakhli, Daifullah" sort="Al Nakhli, Daifullah" uniqKey="Al Nakhli D" first="Daifullah" last="Al-Nakhli">Daifullah Al-Nakhli</name><name sortKey="Albarrak, Ali M" sort="Albarrak, Ali M" uniqKey="Albarrak A" first="Ali M." last="Albarrak">Ali M. Albarrak</name><name sortKey="Haddad, Qais" sort="Haddad, Qais" uniqKey="Haddad Q" first="Qais" last="Haddad">Qais Haddad</name><name sortKey="Matin, Mohammad Abdul" sort="Matin, Mohammad Abdul" uniqKey="Matin M" first="Mohammad Abdul" last="Matin">Mohammad Abdul Matin</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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