Evidence map›Paper›PMID 28709419›Full record

ArticleBMC infectious diseases2017

The clinical and virological features of the first imported case causing MERS-CoV outbreak in South Korea, 2015.

Ji Yeon Lee, You-Jin Kim, Eun Hee Chung, Dae-Won Kim, Ina Jeong, Yeonjae Kim, Mi-Ran Yun, Sung Soon Kim, Gayeon Kim, Joon-Sung Joh

Abstract readCase Reports
In one paragraph

Article in BMC infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  15. COVID-19: why not learn from the past?Frontiers of medicine · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ji Yeon LeeDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, National Medical Center, Seoul, 04564, Republic of Korea.
You-Jin KimKorea Centers for Disease Control and Prevention, Cheongju, 28159, Republic of Korea.
Eun Hee ChungDivision of Pediatric Allergy & Pulmonology, Department of Pediatrics, Chungnam National University School of Medicine, Chungnam National University Hospital, Daejeon, 35015, Republic of Korea.
Dae-Won KimKorea Centers for Disease Control and Prevention, Cheongju, 28159, Republic of Korea.
Ina JeongDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, National Medical Center, Seoul, 04564, Republic of Korea.
Yeonjae KimCenter for Infectious Diseases, National Medical Center, Seoul, 04564, Republic of Korea.
Mi-Ran YunKorea Centers for Disease Control and Prevention, Cheongju, 28159, Republic of Korea.
Sung Soon KimKorea Centers for Disease Control and Prevention, Cheongju, 28159, Republic of Korea.
Gayeon KimCenter for Infectious Diseases, National Medical Center, Seoul, 04564, Republic of Korea. simply.gayeon@nmc.or.kr.
Joon-Sung JohDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, National Medical Center, Seoul, 04564, Republic of Korea. ssabana777@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2015, the largest outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infection outside the Middle East occurred in South Korea. We summarized the epidemiological, clinical, and laboratory findings of the first Korean case of MERS-CoV and analyzed whole-genome sequences of MERS-CoV derived from the patient. CASE PRESENTATION: A 68-year-old man developed fever and myalgia 7 days after returning to Korea, following a 10-day trip to the Middle East. Before diagnosis, he visited 4 hospitals, potentially resulting in secondary transmission to 28 patients. On admission to the National Medical Center (day 9, post-onset of clinical illness), he presented with drowsiness, hypoxia, and multiple patchy infiltrations on the chest radiograph. He was intubated (day 12) because of progressive acute respiratory distress syndrome (ARDS) and INF-α2a and ribavirin treatment was commenced. The treatment course was prolonged by superimposed ventilator associated pneumonia. MERS-CoV PCR results converted to negative from day 47 and the patient was discharged (day 137), following rehabilitation therapy. The complete genome sequence obtained from a sputum sample (taken on day 11) showed the highest sequence similarity (99.59%) with the virus from an outbreak in Riyadh, Saudi Arabia, in February 2015.

conclusionsThe first case of MERS-CoV infection had high transmissibility and was associated with a severe clinical course. The patient made a successful recovery after early treatment with antiviral agents and adequate supportive care. This first case in South Korea became a super-spreader because of improper infection control measures, rather than variations of the virus.

Indexed as

AgedAntiviral AgentsCoronavirus InfectionsDisease OutbreaksHumansInfection ControlMaleMiddle EastMiddle East Respiratory Syndrome CoronavirusPhylogenyRepublic of KoreaRibavirinSaudi ArabiaAntiviral AgentsRibavirinComplete genomeGenetic analysisIndex caseKoreaMiddle East respiratory syndrome Coronavirus

Identifiers

PMID28709419
PMCPMC5512736

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.