Neurological Complications during Treatment of Middle East Respiratory Syndrome

Kim, Jee-Eun; Heo, Jae-Hyeok; Kim, Hye-ok; Song, Sook-hee; Park, Sang-Soon; Park, Tai-Hwan; Ahn, Jin-Young; Kim, Min-Ky; Choi, Jae-Phil

A 55-year-old man who may have been exposed to MERS-CoV in a hospital or through household contact between 5 and 18 days prior to his presentation at our hospital was admitted because an RT-PCR of his sputum revealed positivity for MERS-CoV. He had a history of atrial fibrillation, diabetes mellitus, hypertension, chronic kidney disease, and hypothyroidism. At admission he denied any clinical symptoms, No *Sepsis is defined as life-threatening organ dysfunction from a dysregulated host reaction to an infection. Septic shock represents a subtype of sepsis that is accompanied by severe circulatory, cellular, and metabolic abnormalities that increase mortality. 10 GI: gastrointestinal, HFNC: high-flow nasal cannula oxygen therapy, IFN: type 1 interferon, IVIG: intravenous immunoglobulin, LR: lopinavir/ritonavir, MERS: Middle East respiratory syndrome, PSI: Pneumonia Severity Index, Rb: ribavirin, SAPS II: Simplified Acute Physiology Score II.