Eurosurveillance
Volume 19, Issue 21, 29 May 2014
http://www.eurosurveillance.org/Public/Articles/Archives.aspx?PublicationId=11678

Rapid communications
Middle East respiratory syndrome coronavirus (MERS-CoV) infections in two returning travellers in the Netherlands, May 2014
M Kraaij – Dirkzwager1, A Timen1, K Dirksen2, L Gelinck3, E Leyten3, P Groeneveld4, C Jansen3, M Jonges5, S Raj6, I Thurkow7, R van Gageldonk-Lafeber8, A van der Eijk6, M Koopmans5,6, on behalf of the MERS-CoV outbreak investigation team of the Netherlands9
National Institute for Public Health and the Environment (RIVM) National Coordination Centre for Communicable Disease Control, Bilthoven, the Netherlands
Public Health Service The Hague, The Hague, the Netherlands
Medical Centre Haaglanden, The Hague, the Netherlands
Isala Klinieken Zwolle, Zwolle, the Netherlands
National Institute for Public Health and the Environment (RIVM) Centre for Infectious Disease Research, Diagnostics and Screening, Bilthoven, the Netherlands
Erasmus MC, Rotterdam, the Netherlands
Public Health Service Ijsselland, Zwolle, the Netherlands
National Institute for Public Health and the Environment (RIVM), Centre for Infectious Diseases, Epidemiology and Surveillance, Bilthoven, the Netherlands
Summary
Two patients, returning to the Netherlands from pilgrimage in Medina and Mecca, Kingdom of Saudi Arabia, were diagnosed with Middle East respiratory syndrome coronavirus (MERS-CoV) infection in May 2014. The source and mode of transmission have not yet been determined. Hospital-acquired infection and community-acquired infection are both possible.