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Clinical features and virological analysis of a case of Middle East respiratory syndrome coronavirus infection

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TLDR
The first complete viral load profile in a case of MERS-CoV infection is provided, which might have shedding patterns that are different from those of severe acute respiratory syndrome and so might need alternative diagnostic approaches.
Abstract
Summary Background The Middle East respiratory syndrome coronavirus (MERS-CoV) is an emerging virus involved in cases and case clusters of severe acute respiratory infection in the Arabian Peninsula, T unisia, Morocco, France, Italy, Germany, and the UK. We provide a full description of a fatal case of MERS-CoV infection and associated phylogenetic analyses. Methods We report data for a patient who was admitted to the Klinikum Schwabing (Munich, Germany) for severe acute respiratory infection. We did diagnostic RT -PCR and indirect immunofl uorescence. From time of diagnosis, respiratory, faecal, and urine samples were obtained for virus quantifi cation. We constructed a maximum likelihood tree of the fi ve available complete MERS-CoV genomes.

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Posted ContentDOI

MERS-CoV recombination: implications about the reservoir and potential for adaptation

TL;DR: The phylogenetic methods and simulations are used to show that MERS-CoV genome has likely undergone numerous recombinations recently, which implies frequent co-infection with distinct lineages of MERS -CoV, probably in camels given the current understanding of MSPS epidemiology.
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MERS-CoV at the animal-human interface: inputs on exposure pathways from an expert-opinion elicitation.

TL;DR: The results of this study are consistent with available, yet very limited, published data regarding the potential pathways of transmission of MERS-CoV at the animal–human interface and identify key knowledge gaps.
Journal ArticleDOI

Middle East Respiratory Syndrome (MERS).

TL;DR: E Epidemiological and other data suggest that the source of most primary cases is exposure to camels, and person-to-person transmission occurs in household and health care settings, although sustained and efficient person- to- person transmission has not been observed.
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Systemic innate and adaptive immune responses to SARS-CoV-2 as it relates to other coronaviruses.

TL;DR: In this review, what is currently known about the systemic immune response to SARS-CoV-2 and potential immunotherapeutic approaches are summarized.
References
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Journal ArticleDOI

A simple, fast, and accurate algorithm to estimate large phylogenies by maximum likelihood.

TL;DR: This work has used extensive and realistic computer simulations to show that the topological accuracy of this new method is at least as high as that of the existing maximum-likelihood programs and much higher than the performance of distance-based and parsimony approaches.
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Isolation of a Novel Coronavirus from a Man with Pneumonia in Saudi Arabia

TL;DR: The clinical picture was remarkably similar to that of the severe acute respiratory syndrome (SARS) outbreak in 2003 and reminds us that animal coronaviruses can cause severe disease in humans.
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The severe acute respiratory syndrome.

TL;DR: The concerted and coordinated response that contained SARS is a triumph for global public health and provides a new paradigm for the detection and control of future emerging infectious disease threats.
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Dipeptidyl peptidase 4 is a functional receptor for the emerging human coronavirus-EMC

TL;DR: Dipeptidyl peptidase 4 (DPP4; also known as CD26) is identified as a functional receptor for hCoV-EMC and will contribute critically to the understanding of the pathogenesis and epidemiology of this emerging human coronavirus, and may facilitate the development of intervention strategies.
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