راعي إبل عمره ٥٥ سنة في المنطقة الشرقية جاء بحمى وسعال وضيق نفس متزايد منذ ٤ أيام، وأشعته تظهر التهاباً رئوياً. أي إجراء يجب أن يبدأ فوراً حسب توجيهات وزارة الصحة؟

A 55-year-old camel herder in the Eastern Province has fever, cough and worsening dyspnoea for 4 days with pneumonia on X-ray. What must begin immediately per MOH guidance?

1. Standard precautions only until the bacterial culture returns
2. Placement in a shared room with other pneumonia patients
3. No precautions yet, because the fever may be from exertion
4. Isolation with airborne and contact precautions for suspected MERS

Answer: D) Isolation with airborne and contact precautions for suspected MERS. Camel contact with acute pneumonia raises suspicion of MERS-CoV. The client is isolated in a negative-pressure room with N95, gown, gloves and eye protection, samples are taken per protocol and infection control is notified.