WHO has issued Middle East respiratory syndrome coronavirus (MERS-CoV) – update. Excerpt:
5 MAY 2014 - On 2 May 2014, the US IHR National Focal Point reported the first laboratory confirmed Middle East respiratory syndrome coronavirus (MERS-CoV) infection in a male US citizen in his 60s, who lives and works in Riyadh, Saudi Arabia.
He traveled to the US from Riyadh to Chicago on 24 April 2014 via London Heathrow with travel from Chicago to Indiana by bus.
He reportedly worked in Riyadh. US health officials do not know at this time whether he directly cared for MERS-CoV confirmed cases and what infection control precautions were used. The CDC Team is working with the Indiana State Health Department to collect more data on the patient, including this information.
He began feeling unwell on or around 14 April 2014 with a low-grade fever without any respiratory symptoms. On 27 April 2014, he developed shortness of breath, cough, increasing fever, and mild runny nose. On 28 April 2014, he was seen in an emergency room. A chest x-ray showed infiltrates in the right lung base and he was admitted to hospital and placed in a private room. Negative pressure room and airborne precautions were reportedly implemented on 29 April 2014; full isolation (standard, contact, and airborne) precautions were implemented on 30 April 2014. A chest computed tomography on 29 April 2014 showed bilateral lung infiltrates. Currently the patient is stable with shortness of breath; he is not intubated.
CDC’s Division of Global Migration and Quarantine (DGMQ) has been and continues to work with local, state, and international partners, as well as airlines and the bus company to obtain the passenger manifests from the two flights and information from the bus company to help identify, locate, and interview contacts.
This is the first report of an imported case of MERS-CoV in the United States and in the Americas Region.