Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and Middle East Respiratory Syndrome Coronavirus (MERS-CoV) coinfection: A unique case series.


Journal

Travel medicine and infectious disease
ISSN: 1873-0442
Titre abrégé: Travel Med Infect Dis
Pays: Netherlands
ID NLM: 101230758

Informations de publication

Date de publication:
Historique:
received: 17 01 2021
revised: 26 02 2021
accepted: 09 03 2021
pubmed: 18 3 2021
medline: 20 5 2021
entrez: 17 3 2021
Statut: ppublish

Résumé

The emergence of the Severe Acute Respiratory Syndrome Coroanvirus 2 (SARS-CoV-2) had raised possibilities of coinfection with the Middle East Respiratory Syndrome Coronavirus (MERS-CoV) in countries were these two viruses were reported. In this study, we describe the clinical presentation and demographics of eight patients who were coinfected with SARS-CoV-2 and MERS-CoV. This is a case series of hospitalized patients admitted to intensive care units (ICUs). We collected demographics, underlying conditions, presenting symptoms and clinical outcome from the patients' medical records. During the study period from March 14, 2020 to October 19, 2020, there was a total of 67 SARS-CoV-2 ICU admitted patients who underwent simultaneous SARS-CoV-2 and MERS-CoV testing by PCR. Of those patients, 8 (12%) tested positive for both SARS-CoV-2 and MERS-CoV. There were 6 (75%) males, the mean age ± SD was 44.4 ± 11.8 years, and 7 (87.5%) were obese. Of the patients, 7 (87.5%) were non-smokers, 1 (12.5%) had diabetes mellitus, 1 (12.5%) had heart failure, and 1 (12.5%) had been on anti-platelet therapy. The mean hospital length of stay (LOS) was 21.1 ± 11.6 days and the average ICU LOS was 10.9 ± 6.03 days. All patients received supportive therapy and all were treated with corticosteroid. Of all the patients, 4 (50%) were discharged home and 3 (37.5%) died. This case series is an important addition to the medical knowledge as it showed the interaction of the coinfection of SARS-CoV-2 and MERS-CoV.

Identifiants

pubmed: 33727175
pii: S1477-8939(21)00067-3
doi: 10.1016/j.tmaid.2021.102026
pmc: PMC7955802
pii:
doi:

Substances chimiques

Adrenal Cortex Hormones 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

102026

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

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Auteurs

Alyaa Elhazmi (A)

Adult Critical Care Department, Dr. Sulaiman Alhabib Medical Group, Riyadh, Saudi Arabia. Electronic address: a.m.haz@live.com.

Jaffar A Al-Tawfiq (JA)

Infectious Disease Unit, Specialty Internal Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia; Infectious Disease Division, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA; Infectious Disease Division, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: jaffar.tawfiq@jhah.com.

Hend Sallam (H)

Adult Critical Care Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. Electronic address: Hsallam@kfshrc.edu.sa.

Awad Al-Omari (A)

Research Center, Dr Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia; College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.

Saad Alhumaid (S)

Administration of Pharmaceutical Care, Ministry of Health, Al-Ahsa, Saudi Arabia. Electronic address: saalhumaid@moh.gov.sa.

Ahmad Mady (A)

Critical Care Department, King Saud Medical City, Riyadh, Saudi Arabia; Department of Anesthesiology and ICU, Tanta University Hospitals, Tanta, Egypt.

Abbas Al Mutair (A)

Research Center, Almoosa Specialist Hospital, Al-Hasa, Saudi Arabia; College of Nursing, Prince Nora University, Riyadh, Saudi Arabia; School of Nursing, Wollongong University, Australia.

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