that the presentation of cases at early onset of the disease may not include prominent respiratory symptoms; this was already reported in a French case-patient with immunosuppressive condition in 2013 [4]. The World Health Organization (WHO) MERS-CoV Research Group reviewed 161 patients in November 2013, and indicated the French patient as the only one admitted for fever and diarrhoea in without initial respiratory symptoms. The group mentioned however, that at least one-third of patients also had gastrointestinal symptoms, such as vomiting and diarrhoea [5].