The patient's findings on chest radiography together with the clinical symptoms indicated acute respiratory distress syndrome (ARDS) with multiorgan dysfunction syndrome (MODS), similar to what has been described in severe cases of influenza and SARS.19-21 These pneumonic changes did not respond to antibacterial treatment.22
October 17, 2012DOI: 10.1056/NEJMoa1211721
Abstract
A previously unknown coronavirus was isolated from the sputum of a
60-year-old man who presented with acute pneumonia and subsequent renal
failure with a fatal outcome in Saudi Arabia. The virus (called
HCoV-EMC) replicated readily in cell culture, producing cytopathic
effects of rounding, detachment, and syncytium formation. The virus
represents a novel betacoronavirus species. The closest known relatives
are bat coronaviruses HKU4 and HKU5. Here, the clinical data, virus
isolation, and molecular identification are presented. 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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