MERS, or just pneumonia?
BILL* has a fever (37.9°C), a productive cough and basal rales on the right.
He is 56, obese, a heavy smoker and returned 10 days ago from a two-week trip to South Korea. He became ill 48 hours ago, but is not too distressed at the moment.
Diagnose pneumonia, get a chest x-ray and start the appropriate antibiotic?
Correct, but don’t forget the possibility of Middle East respiratory syndrome (MERS). If Bill has MERS,