Atypical presentation of Middle East respiratory syndrome coronavirus in a Lebanese patient returning from Saudi Arabia

  • Saeed El Zein American University of Beirut Medical Center, Beirut, Lebanon
  • Jinane Khraibani American University of Beirut Medical Center, Beirut, Lebanon
  • Nada Zahreddine American University of Beirut Medical Center, Beirut, Lebanon
  • Rami Mahfouz American University of Beirut Medical Center, Beirut, Lebanon
  • Nada Ghosn American University of Beirut Medical Center, Beirut, Lebanon
  • Souha S Kanj American University of Beirut Medical Center, Beirut, Lebanon
Keywords: Middle East Respiratory Syndrome, MERS-CoV, atypical presentation, Lebanon

Abstract

Around 2090 confirmed cases of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) from 27 countries have been reported to the World Health Organization (WHO) between September 2012 and October 2017, the majority of whom occurring in countries in the Arabian Peninsula, mainly in Saudi Arabia. MERS- CoV can have atypical and misleading presentations resulting in delays in diagnosis and is associated with a high mortality rate especially in elderly patients with multiple comorbidities. Herein, we present the first case of confirmed MERS-CoV infection diagnosed at the American University of Beirut Medical Center (AUBMC) - Lebanon in June 2017 presenting without any respiratory symptoms. This is the second confirmed case of MERS-CoV infection in Lebanon since 2014. The first case presented with a febrile respiratory infection with persistent symptoms despite antibiotic treatment.

Author Biography

Souha S Kanj, American University of Beirut Medical Center, Beirut, Lebanon

Souha S. Kanj, MD, FACP, FIDSA, FRCP, FESCMID
Professor of Medicine
Head, Division of Infectious Diseases,
Chairperson, Infection Control Program

Published
2018-09-30
How to Cite
1.
El Zein S, Khraibani J, Zahreddine N, Mahfouz R, Ghosn N, Kanj S (2018) Atypical presentation of Middle East respiratory syndrome coronavirus in a Lebanese patient returning from Saudi Arabia. J Infect Dev Ctries 12:808-811. doi: https://doi.org/10.3855/jidc.9979
Section
Case Reports