and has since spread to several other countries, including the United States.

Most people infected with MERS-Corona Virus developed severe acute respiratory illness, including fever, cough, and shortness of breath.

Many of them have died. (감염된 환자 10명중 3-4명이 사망)

(역학)

Through retrospective investigations, health officials later identified that the first known cases of MERS occurred in Jordan in April 2012. So far, all cases of MERS have been linked to countries in and near the Arabian Peninsula. (아라비안 반도 근처 모든 나라에서 발생한다. 그런데 질병관리본부에서는....)

Most MERS-CoV cases have been reported in adults (median age approximately 50 years,

male predominance),

although children and adults of all ages have been infected (range 0 to 99 years).

Most hospitalized MERS-CoV patients have had chronic co-morbidities (당뇨, 암, 자가면역성 질환 등 만성질환을 가지고 있는 경우 입원을 요하는 경우가 대부분입니다).

Among confirmed MERS-CoV cases reported to date, the case fatality proportion is approximately 35%.

(임상경과)

The median incubation period for secondary cases (환자와 접촉하여 발병한 2차 감염자) associated with limited human-to-human transmission is approximately 5 days (range 2-14 days). In MERS-CoV patients, the median time from illness onset to hospitalization is approximately 4 days. In critically ill patients, the median time from onset to intensive care unit (ICU) admission is approximately 5 days

(검사실 소견)

Laboratory findings at admission may include leukopenia, lymphopenia, thrombocytopenia, and elevated lactate dehydrogenase levels.

Co-infection with other respiratory viruses and a few cases of co-infection with community-acquired bacteria at admission has been reported; nosocomial bacterial and fungal infections have been reported in mechanically-ventilated patients.(결국 세균감염이 동반되면서 expire 할 것으로 생각됩니다.)

MERS-CoV virus can be detected with higher viral load and longer duration in the lower respiratory tract compared to the upper respiratory tract,

and has been detected in feces, serum, and urine (환자의 기관지 가래 뿐만 아니라 혈청, 대변, 소변에서도 검출이 된다는 군요)

(치료)

No specific treatment for MERS-CoV infection is currently available.

Clinical management includes supportive management of complications and implementation of recommended infection prevention and control measures.

(결론은 치료법이 없다네요)

원문 사이트는 아래와 같습니다.

http://www.cdc.gov/coronavirus/mers/clinical-features.html