An Atypical Case of Middle East Respiratory Syndrome in a Returning Traveler to Korea from Kuwait, 2018.
Song Lee BakKang Il JunJongtak JungJeong-Han KimChang Kyung KangPyoeng Gyun ChoeNam Joong KimMyoung-don OhPublished in: Journal of Korean medical science (2018)
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.
Keyphrases
- respiratory syndrome coronavirus
- sars cov
- coronavirus disease
- real time pcr
- case report
- emergency department
- cystic fibrosis
- public health
- healthcare
- mycobacterium tuberculosis
- magnetic resonance imaging
- depressive symptoms
- high resolution
- clostridium difficile
- physical activity
- single cell
- computed tomography
- pulmonary tuberculosis
- magnetic resonance
- respiratory tract
- sleep quality