|How to cite this article:
Yasri S, Wiwanitkit V. Diarrhea as an atypical presentation in Middle East respiratory syndrome (MERS) 2012. Ann Trop Med Public Health 2014;7:244
|How to cite this URL:
Yasri S, Wiwanitkit V. Diarrhea as an atypical presentation in Middle East respiratory syndrome (MERS) 2012. Ann Trop Med Public Health [serial online] 2014 [cited 2021 Apr 13];7:244. Available from: https://www.atmph.org/text.asp?2014/7/5/244/154828
Middle East respiratory syndrome (MERS) is a new emerging viral infection, spreading from its origin in Saudi Arabia. ,, This disease is a kind of acute respiratory tract infection and the fatality rate is very high. Due to the trend of possible worldwide pandemic, this disease is under special focus of the World Health Organization (WHO). Generally, the patient presents with fever, cough, and respiratory difficulty with rapid progression to pneumonia. ,, However, atypical presentations can be seen. An interesting atypical presentation is renal failure, which can be a cause of fatality.  Also, there are other less mentioned atypical presentations, including diarrhea. Here, the authors try to summarize the magnitude of diarrhea in the patients with MERS. According to the available published data, , 13 out of 49 confirmed cases of MERS presented diarrhea, giving the prevalence equal to 4.35%. This rate is considered to be high in comparison to the rate in other new emerging respiratory viral infections (such as in bird flu).  Hence, MERS should also be included in the differential diagnosis of any acute febrile illness with diarrhea.
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