MERS-CoV Infection

MERS-CoV infection, caused by a positive-sense single-stranded RNA virus belonging to the Betacoronavirus subgroup lineage 2c, was first identified in Saudi Arabia in 2012. It utilizes the DPP4 receptor for cellular entry, leading to a wide clinical spectrum ranging from mild upper respiratory symptoms to severe pneumonia, respiratory failure, renal failure, pericarditis, and adult respiratory distress syndrome. The virus's affinity for DPP4, which is highly expressed in the kidneys, suggests direct renal involvement may contribute to observed kidney dysfunction.