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中东呼吸综合征冠状病毒(MERS-CoV)感染:流行病学、发病机制和临床特征。

Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infection: epidemiology, pathogenesis and clinical characteristics.

机构信息

King Abdulaziz City for Science and Technology (KACST), Riyadh, Saudi Arabia.

出版信息

Eur Rev Med Pharmacol Sci. 2018 Aug;22(15):4956-4961. doi: 10.26355/eurrev_201808_15635.

DOI:10.26355/eurrev_201808_15635
PMID:30070331
Abstract

OBJECTIVE

Middle East Respiratory Syndrome Coronavirus-(MERS-CoV) infection is an evolving worldwide health crisis. The early diagnosis and management of the disease remains a major challenge. This study designed to discuss the epidemiology, pathogenesis and clinical appearances of MERS-CoV infections.

MATERIALS AND METHODS

We conducted a broad search of the English-language literature in "PubMed" "Medline" "Web of knowledge", "EMBASE" and "Google Scholar" World Health Organization-WHO" using the key words "Middle East Respiratory Syndrome", "MERS", "MERS-CoV" "Epidemiology" "Transmission" "Pathogenesis" "Clinical Characteristics". We reviewed the literature on epidemiology, pathogenesis and clinical appearances of MERS-CoV infection and the required information was documented.

RESULTS

The global prevalence of MERS-CoV infection from June 2012 to April 2018 is 2206 people. The number of cases reported from Saudi Arabia is 1831 (83%) with mortality rate of 787 (35.67%). The main clinical manifestations are fever, chills, generalized myalgia, cough, shortness of breath, nausea, vomiting and diarrhea. The age-allied prevalence of MERS-CoV was highest amongst elderly people with chronic debilitating diseases such as pulmonary diseases, end-stage renal illness, diabetes mellitus and malignancy.

CONCLUSIONS

MERS-CoV infection is an emerging global health concern, affected people in 27 countries in the various continents. MERS-CoV infection has been identified mainly in the Middle East, Europe, Africa, Asia and North America. Early detection and management of MERS-CoV infection is of critical importance to minimize the burden of the disease.

摘要

目的

中东呼吸综合征冠状病毒(MERS-CoV)感染是一场正在全球蔓延的卫生危机。这种疾病的早期诊断和治疗仍然是一个主要挑战。本研究旨在讨论 MERS-CoV 感染的流行病学、发病机制和临床特征。

材料与方法

我们在“PubMed”“Medline”“Web of knowledge”“EMBASE”和“Google Scholar”以及世界卫生组织(WHO)的英文文献中进行了广泛搜索,使用的关键词是“中东呼吸综合征”、“MERS”、“MERS-CoV”、“流行病学”、“传播”、“发病机制”、“临床特征”。我们回顾了 MERS-CoV 感染的流行病学、发病机制和临床特征的文献,并记录了所需的信息。

结果

自 2012 年 6 月至 2018 年 4 月,全球 MERS-CoV 感染的患病率为 2206 人。来自沙特阿拉伯的报告病例数为 1831 例(83%),死亡率为 787 例(35.67%)。主要临床表现为发热、寒战、全身肌痛、咳嗽、呼吸急促、恶心、呕吐和腹泻。MERS-CoV 与年龄相关的患病率在患有肺部疾病、终末期肾病、糖尿病和恶性肿瘤等慢性消耗性疾病的老年人中最高。

结论

MERS-CoV 感染是一个新出现的全球卫生问题,影响了各大洲 27 个国家的人群。MERS-CoV 感染主要发生在中东、欧洲、非洲、亚洲和北美。早期发现和管理 MERS-CoV 感染对于减轻疾病负担至关重要。

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