Brooks Kaitlyn A, Neptune Nathaniel S, Mattox Douglas E
Department of Otolaryngology-Head and Neck Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Acta Otolaryngol. 2023 Mar;143(3):237-241. doi: 10.1080/00016489.2023.2182911. Epub 2023 Mar 10.
In 2022, Mpox (MPX) has become clinically relevant as otolaryngologists are evaluating this exotic disease process due to its many otolaryngologic manifestations.
AIMS/OBJECTIVE: To characterize our cohort of otolaryngology-relevant MPX confirmed cases.
A descriptive case series was performed retrospective review. Adult patients who underwent inpatient or emergency department otolaryngology consultation at an Emory University-affiliated tertiary care level hospital for MPX were included.
Seven patients (age 18-58 years; median 32 years) were identified. All patients were male. Six patients (86%) were black and six patients (86%) were HIV positive with varied immunocompetence. Otolaryngology was consulted for lymphadenopathy ( = 2), pharyngeal involvement ( = 1), and airway evaluation ( = 4). All 6 patients with active MPX developed the classic rash, which developed after oropharyngeal symptoms in 3 patients. Three patients had laryngeal involvement.
MPX manifests with symptoms requiring otolaryngology expertise, especially when the airway is involved. Infectious disease consultation is key. Mpox can be identified with a specific constellation of demographic identifiers and physical exam findings, which is key to determining appropriate treatment and protection for the consulting otolaryngologist.
This is the first otolaryngologic study of Mpox and first description of Mpox laryngeal involvement.
2022年，猴痘（MPX）已具有临床相关性，因为耳鼻喉科医生正在评估这种外来疾病过程，因其具有多种耳鼻喉科表现。
描述我们队列中与耳鼻喉科相关的猴痘确诊病例。
进行了一项描述性病例系列回顾性研究。纳入在埃默里大学附属三级护理医院因猴痘接受住院或急诊科耳鼻喉科会诊的成年患者。
确定了7例患者（年龄18 - 58岁；中位数32岁）。所有患者均为男性。6例患者（86%）为黑人，6例患者（86%）为HIV阳性，免疫功能各异。因淋巴结病（n = 2）、咽部受累（n = 1）和气道评估（n = 4）进行了耳鼻喉科会诊。所有6例活动性猴痘患者均出现了典型皮疹，其中3例在口咽症状后出现。3例患者有喉部受累。
猴痘表现出需要耳鼻喉科专业知识的症状，尤其是当气道受累时。传染病会诊至关重要。猴痘可通过特定的人口统计学标识符和体格检查结果组合来识别，这对于为会诊的耳鼻喉科医生确定适当的治疗和防护至关重要。
这是第一项关于猴痘的耳鼻喉科研究，也是首次描述猴痘喉部受累情况。
