Table 3.

MERS-CoV case definition for suspected case as per the command and control center

Clinical criteria A.Severe pneumonia (severity score ≥3 points) or ARDS (based on clinical or radiological evidence)* B.Unexplained deterioration of a chronic condition of patients with congestive heart failure or chronic kidney disease on hemodialysis* C.Acute febrile illness (T ≥ 38°C) with/without respiratory symptoms** D.Gastrointestinal symptoms (diarrhea or vomiting) AND leukopenia (white blood cell ≤3.5 × 109/L) OR thrombocytopenia (platelets <150 × 109/L)**

Epidemiological link any of the following: 1.Exposure to a confirmed case of MERS-CoV infection 2.Visit to a health-care facility where MERS-CoV patient(s) has recently (within 2 weeks) been identified/treated 3.Contact with dromedary camels or consumption of camel products (e.g., raw meat, unpasteurized milk, urine)

^*In adults and does not need an epidemiological criterion.

^**In adult and children and both need an epidemiological link within 14 days before symptoms onset.

ARDS, Acute Repiratory Distress Syndrome.