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再度出现的人类猴痘:一场重大的公共卫生灾难。

Re-emerging human monkeypox: A major public-health debacle.

作者信息

Saxena Shailendra K, Ansari Saniya, Maurya Vimal K, Kumar Swatantra, Jain Amita, Paweska Janusz T, Tripathi Anil K, Abdel-Moneim Ahmed S

机构信息

Centre for Advanced Research, Faculty of Medicine, King George's Medical University, Lucknow, India.

World Society for Virology, Massachusetts, USA.

出版信息

J Med Virol. 2023 Jan;95(1):e27902. doi: 10.1002/jmv.27902. Epub 2022 Jun 18.

Abstract

A multicountry outbreak of the monkeypox virus has gained global attention. As of May 25, 250 confirmed human monkeypox cases have been reported globally. Monkeypox is caused by the Monkeypox virus, which belongs to the Orthopoxvirus genus and Poxviridae family. Monkeypox is often a self-limiting infection, with symptoms lasting 2-4 weeks with the case fatality ratio around 3%-6%. Monkeypox is transmitted to humans by direct contact with an infected person or animal or contact with virus-contaminated material. Human monkeypox infections may lead to various medical complications such as fever, rash, and lymphadenopathies. Pneumonitis, encephalitis, sight-threatening keratitis, and subsequent bacterial infections are all possible complications of monkeypox. An antiviral agent developed to treat smallpox has also been approved for use in the treatment of monkeypox in the United States. Vaccines used in the smallpox eradication program also provided immunity to monkeypox. Newer vaccines have been developed, one of which has been approved for monkeypox prevention. In this study, we provide information about the recent outbreaks of human monkeypox, epidemiology, transmission pattern, possible diagnosis techniques, therapeutics, and available preventive strategies.

摘要

猴痘病毒在多个国家爆发,已引起全球关注。截至5月25日,全球已报告250例确诊的人类猴痘病例。猴痘由猴痘病毒引起,该病毒属于正痘病毒属和痘病毒科。猴痘通常是一种自限性感染,症状持续2至4周,病死率约为3%至6%。猴痘通过直接接触感染者或感染动物或接触受病毒污染的材料传播给人类。人类猴痘感染可能导致各种医学并发症,如发热、皮疹和淋巴结病。肺炎、脑炎、威胁视力的角膜炎以及随后的细菌感染都是猴痘可能出现的并发症。一种用于治疗天花的抗病毒药物在美国也已被批准用于治疗猴痘。天花根除计划中使用的疫苗也能提供针对猴痘的免疫力。已经研发出了更新的疫苗,其中一种已被批准用于预防猴痘。在本研究中,我们提供了有关近期人类猴痘疫情、流行病学、传播模式、可能的诊断技术、治疗方法以及可用预防策略的信息。

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