Table.
MERS7, 8, 9, 10, 13, 33, 84, 85 | SARS86, 87, 88, 89, 90, 91 | ||
---|---|---|---|
First cases reported | April, 2012 (Zarqa, Jordan), June, 2012 (Jeddah, Saudi Arabia) | November, 2002 (Guangdong, China) | |
Incubation period | |||
Mean (95% CI; days) | 5·2 (1·9–14·7) | 4·6 (3·8–5·8) | |
Range (days) | 2–13 | 2–14 | |
Serial interval | 7·6 days | 8·4 days | |
Basic reproduction number | <1 | 2–3 | |
Patient characteristics | |||
Adults | 98% | 93% | |
Children | 2% | 5–7% | |
Age range (years) | 1–94 | 1–91 | |
Average age (years) | Median 50 | Mean 39·9 | |
Sex ratio (male:female) | 64·5%:35·5% | 43%:57% | |
Mortality | |||
Overall CFR | 40% | 9·6% | |
CFR in patients with comorbidities | 60% | 46% | |
Disease progression | |||
Time from onset to ventilatory support | Median 7 days | Mean 11 days | |
Time from onset to death | Median 11·5 days | Mean 23·7 days | |
Presenting symptoms | |||
Fever (>38°C) | 98% | 99–100% | |
Chills or rigors | 87% | 15–73% | |
Cough | 83% | 62–100% | |
Dry | 56% | 29–75% | |
Productive | 44% | 4–29% | |
Haemoptysis | 17% | 0–1% | |
Headache | 11% | 20–56% | |
Myalgia | 32% | 45–61% | |
Malaise | 38% | 31–45% | |
Shortness of breath | 72% | 40–42% | |
Nausea | 21% | 20–35% | |
Vomiting | 21% | 20–35% | |
Diarrhoea | 26% | 20–25% | |
Sore throat | 14% | 13–25% | |
Rhinorrhoea | 6% | 2–24% | |
Comorbidities | 76% | 10–30% | |
Laboratory results | |||
Chest radiography abnormalities | 90–100% | 94–100% | |
Leucopenia (<4·0 × 109 cells per L) | 14% | 25–35% | |
Lymphopenia (<1·5 × 109 cells per L) | 32% | 68–85% | |
Thrombocytopenia (<140 × 109 platelets per L) | 36% | 40–45% | |
High lactate dehydrogenase | 48% | 50–71% | |
High alanine aminotransferase | 11% | 20–30% | |
High aspartate aminotransferase | 14% | 20–30% | |
Factors associated with severe disease or death | Being immunocompromised, comorbidity (eg, obesity, diabetes, cardiac disease, lung disease), concomitant infection, low albumin, age ≥65 years | Old age, being male, high initial or peak lactate dehydrogenase, high neutrophil count on presentation, comorbidity, low CD4 and CD8 lymphocyte counts at presentation |
CFR=case-fatality rate. MERS=Middle East respiratory syndrome. SARS=severe acute respiratory syndrome.