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domingo, 4 de mayo de 2014

MERS-CoV

Las Vegas Emergency Medicine Residency
05/02/2014 - Las Vegas Emergency MEdicine Residency - By Sean Weaver

MERS-CoV is a novel coronavirus that can lead to severe respiratory illness in humans. 

"Impact on Emergency Medicine
With less than 500 confirmed cases globally and an unknown prevalence of disease the current impact of this disease is unclear. While the mortality of known cases is high- 401 confirmed cases in 6 countries, 93 people (23%) have died- there is not a surveillance program or case definition that captures less severe cases. This leaves the true severity of the disease ill defined.

Regardless, it is important that emergency medicine physician be vigilant. Thus far all confirmed cases have originated in patients who recently travelled from the Arabian Peninsula (Bahrain, Iraq, Iran, Israel, Jordan, Kuwait, Lebanon, Oman, Palestinian territories, Qatar, Saudi Arabia, Syria, the United Arab Emirates and Yemen). Therefore, obtaining a travel history in patients with signs and symptoms of upper respiratory tract infection is essential to early identification of at risk patients. 
In patients that meet the above case definition the CDC recommends evaluating all causes of community acquired pneumonia while working up MERS-CoV. The health care provider should notify their local health departments as well as the CDC. This short form can be completed by any provider and faxed to the CDC."
http://www.lasvegasemr.com/4/post/2014/05/mers-cov-impact-on-emergency-medicine.html