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Cited by 1,108

The DOI matches its Crossref record; 53 of the 53 references it cites were found in a registry or an index.

COVID-19, SARS and MERS: are they closely related?

Open access
Petrosillo, N., Viceconte, G., Ergonul, O., Ippolito, G., Petersen, E.·2020·Clinical Microbiology and Infection

Abstract

Background The 2019 novel coronavirus (SARS-CoV-2) is a new human coronavirus which is spreading with epidemic features in China and other Asian countries; cases have also been reported worldwide. This novel coronavirus disease (COVID-19) is associated with a respiratory illness that may lead to severe pneumonia and acute respiratory distress syndrome (ARDS). Although related to the severe acute respiratory syndrome (SARS) and the Middle East respiratory syndrome (MERS), COVID-19 shows some peculiar pathogenetic, epidemiological and clinical features which to date are not completely understood. Aims To provide a review of the differences in pathogenesis, epidemiology and clinical features of COVID-19, SARS and MERS. Sources The most recent literature in the English language regarding COVID-19 has been reviewed, and extracted data have been compared with the current scientific evidence about SARS and MERS epidemics. Content COVID-19 seems not to be very different from SARS regarding its clinical features. However, it has a fatality rate of 2.3%, lower than that of SARS (9.5%) and much lower than that of MERS (34.4%). The possibility cannot be excluded that because of the less severe clinical picture of COVID-19 it can spread in the community more easily than MERS and SARS. The actual basic reproductive number (R 0 ) of COVID-19 (2.0–2.5) is still controversial. It is probably slightly higher than the R 0 of SARS (1.7–1.9) and higher than that of MERS (<1). A gastrointestinal route of transmission for SARS-CoV-2, which has been assumed for SARS-CoV and MERS-CoV, cannot be ruled out and needs further investigation. Implications There is still much more to know about COVID-19, especially as concerns mortality and its capacity to spread on a pandemic level. Nonetheless, all of the lessons we learned in the past from the SARS and MERS epidemics are the best cultural weapons with which to face this new global threat.

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Metadata

Authors
Petrosillo, N., Viceconte, G., Ergonul, O., Ippolito, G., & Petersen, E.
Venue
Clinical Microbiology and Infection
Publisher
Elsevier BV
Published
2020-06
Volume
26
Issue
6
Pages
729-734
ISSN
1198-743X (ISSN-L)
OpenAlex
W3013008917
Cited by
1,108
References
53
FWCI
30.48
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: COVID-19, SARS and MERS: are they closely related? https://app.cochat.ai/papers/10.1016/j.cmi.2020.03.026
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Petrosillo, N., Viceconte, G., Ergonul, O., Ippolito, G., & Petersen, E. (2020). COVID-19, SARS and MERS: are they closely related? Clinical Microbiology and Infection. https://doi.org/10.1016/j.cmi.2020.03.026

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