Somehow I missed this July 2 report: Middle East respiratory syndrome coronavirus (MERS-CoV) – update. Excerpt:
On 22 June 2014, the National IHR Focal Point for the Islamic Republic of Iran reported to WHO an additional laboratory-confirmed case of Middle East respiratory syndrome coronavirus (MERS-CoV) infection. On 25 and 27 June 2014, the National IHR Focal Point of Saudi Arabia reported the diagnosis of an additional 3 cases of MERS-CoV infection.
Details for the case in Iran are as follows:
The patient is a 44-year-old male, national, health-care worker (HCW) resident of Kerman province located in southeast Iran. He developed mild symptoms of an influenza-like illness on 6 June 2014. His condition deteriorated as he developed dyspnea and was admitted to hospital on 17 June 2014. Specimens were collected on 17 June 2014 and initially tested negative for MERS-CoV on 18 June 2014.
His condition continued to deteriorate and he was transferred to an Intensive Care Unit (ICU) on 19 June 2014. Additional specimens were collected that day and tested positive for MERS-CoV on 20 June 2014.
The patient is currently in isolation in a negative pressure respiratory ICU. He does not have a history of travel or contact with animals or consumption of raw camel products in the 14 days prior to the onset of symptoms. He is reported to have a comorbidity.
In addition, he is reported not to have had contact with a laboratory-confirmed case of MERS; however, he is reported to have had close contact on 26 May 2014 with a patient diagnosed with Severe Acute Respiratory Infection (SARI) at the same hospital where he was working. He is currently in a stable condition.
The SARI patient had a history of travel to Saudi Arabia to perform Umrah between 5 and 15 May 2014. He was diagnosed with SARI on 17 May 2014 and was admitted on the same day. Specimens were collected from him on 22 May 2014 and tested negative for influenza and for MERS-CoV on 24 May 2014. He was transferred to ICU on 26 May 2014 and was intubated. On 30 May 2014, the SARI patient died.
Investigation of contacts among health-care workers and family members is ongoing by the provincial health authorities and more information will be provided as it becomes available.