TY - JOUR
AR - CMR-2018-1-102
TI - A Febrile Return from Mecca: is it the obvious?
AU - Amos M , Yinnon
AU - Ramzi , Kurd
AU - Reuven , Friedmann
AU - Yael M. , Szterenlicht
JO - Clinical Microbiology and Research
PY - 2018
DA - Wed 30, Jan 2019
SN - 2674-418X
DO - http://dx.doi.org/10.31487/j.CMR.2018.01.002
UR - https://www.sciencerepository.org/a-febrile-return-from-mecca-is-it-the-obvious_CMR-1-102 
KW - Middle East respiratory Syndreom (MERS), MERS-CoV (Coronavirus), Adult Respiratory Syndrome (ARDS) ,Isolation procedures.
AB - We describe a 53-year-old female patient with diabetes mellitus and mild hypertension who made the ritual
Hajj pilgrimage to Mecca. On the return trip to Jerusalem, she developed a respiratory illness, high fever
and chills. We describe the initial and subsequent management of this patient, epidemiological aspects and
the surprising final diagnosis. The take-home messages are: first, emergency department staff should
demonstrate a high index of suspicion and put patients in isolation who meet specific case definition criteria.
Second, even if a certain disease, in this instance MERS-CoV is the obvious diagnosis, open-mindedness
and a differential diagnosis are always necessary in order to avoid misdiagnosis.