Volume 22, Number 3—March 2016
Dispatch
Middle East Respiratory Syndrome Coronavirus during Pregnancy, Abu Dhabi, United Arab Emirates, 2013
, Karim Medhat El Masry, Mini Ravi, and Falak Sayed
Table
Laboratory and imaging investigation for a pregnant patient with MERS-CoV infection, Abu Dhabi, United Arab Emirates, 2013*
| Test | Finding |
||||||
|---|---|---|---|---|---|---|---|
| 22 Nov | 24 Nov | 25 Nov | 26 Nov | 27 Nov | 28 Nov | 29 Nov | |
| Urine culture |
Neg |
Neg |
|||||
| Blood culture |
Neg |
Neg |
Neg |
Neg |
|||
| High vaginal swab sample |
Neg |
||||||
| Sputum culture |
Neg |
||||||
| Tracheal aspirate culture |
Neg |
||||||
| MDR screen |
Neg |
||||||
| MRSA screen |
Neg |
||||||
| Legionella |
Neg |
||||||
| Influenza A |
Neg |
||||||
| Influenza B |
Neg |
||||||
| H1N1 PCR |
Neg |
||||||
| MERS-CoV rRT-PCR, specimen |
1 Neg, 1 Pos, Ct 34.10, naso aspirate |
Pos, Ct 22.02, tracheal aspirate |
Pos, tracheal aspirate |
Neg, tracheal aspirate |
|||
| Leukocytes, × 109 cells/L |
5.03 |
6.76 |
21.57 |
18.22 |
10.51 |
15.69 |
9.52 |
| Chest imaging, modality | Bilateral consolidation, contrast CT | Bilateral consolidation, radiograph | Resolving consolidation and edema, radiograph | Worsening edema, radiograph | Improved edema and consolidation, radiograph | ||
*Specimen processing was performed by using the EZ1 Advanced XL instrument (QIAGEN, Hilden, Germany) with the LightCycler (Roche Diagnostics, Indianapolis, IN, USA) or Rotor-Gene (QIAGEN) instrument for automated amplification and detection. The detection limit of the assay is 3.4 copies per reaction. Blank cells indicate no testing was done on that day. CT, computed tomography; Ct, cycle threshold; H1N1, influenza A(H1N1)pdm09 virus; MDR, multidrug resistance; MERS-CoV, Middle East respiratory syndrome; MRSA, methicillin-resistant Staphylococcus aureus; naso aspirate, nasopharyngeal aspirate; Neg, negative; Pos, positive; rRT-PCR, real-time reverse transcription PCR.