Batin KSA Camel Contact Raises Surveillance Concerns
September 10, 2013
noting that his brother was frequented much on the market camel , and was staying long between camel, where he abused buying and selling camels newly added «reminded us of the deceased that he had a camel young (Hashi) patients and shows from his nose liquid like water, and it addressed before they show symptoms of the disease».
The patient owned racing camels. One of them got ill and was very weak; the patient was in close contact with that camel, and on the evening the camel got very sick, the patient developed flulike symptoms. Three days later, he was in a medical unit in Abu Dhabi. There is another family member who also had close contact with the camel, he also got ill, but we could not follow up with that gentleman.
The above translation (in red) describes the exposure of the Batin index case (38M) to a symptomatic camel prior to disease onset. The above comments (in blue) describe the exposure of a UAE (73M) case to another symptomatic camel (full sequence here). Both of these cases were fatal. A relative of the UAE case also developed symptoms after exposure, but he refused testing.
These cases support recent papers citing high titer and high frequency of MERS antibodies in racing camel in Oman as well as camels in Egypt imported from Sudan for slaughter. The camel samples in Egypt were from two geographically distinct regions. The antibody activity was specific for a MERS target and was not detected when other beta coronaviruses (OC43 and SARS) were used as targets.