Independent Researcher, Bhopal, Madhya Pradesh, 462020, India.
Department of Biochemistry, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, 462020, India.
Infect Disord Drug Targets. 2023;23(6):e270423216283. doi: 10.2174/1871526523666230427144755.
Monkeypox, a zoonotic orthopoxvirus, unintentionally infects humans and causes a condition resembling smallpox with noticeably reduced fatality. Despite the name monkeypox, the virus did not originate in monkeys. The virus has been linked to several rodents and small mammals, but the real source of monkeypox is still unknown. It was first noticed in macaque monkeys; hence it is named monkeypox. Although monkeypox transmission from person to person is extremely uncommon, it is frequently linked to respiratory droplets or close contact with mucocutaneous lesions of an infected person. This virus is indigenous to western and central Africa, with outbreaks in the Western Hemisphere linked to the exotic pet trade and international travel, making it clinically significant. The immunization against vaccinia virus provided coincidental immunity to monkeypox, but the eradication of smallpox and the consequent lack of vaccination campaigns allowed monkeypox to become clinically relevant. Even though the smallpox vaccine offers protection against the monkeypox virus, the incidence is increasing because of newly non-immunized generations. There is currently no designated treatment for infected individuals; however, supportive treatments are used to relieve symptoms. In extremely severe cases, medications such as tecovirimat may be effective and are used in Europe. Because there are no precise recommendations for symptom alleviation, many treatments are on trial. Smallpox immunizations like JYNNEOS and ACAM2000 are also used as prophylactic measures in the case of the monkeypox virus. This article describes the assessment and treatment of monkeypox infections in humans and emphasizes the need for a multidisciplinary team to treat patients with this condition and prevent disease outbreaks.
猴痘是一种偶发性正痘病毒,它会无意间感染人类,并导致一种类似于天花的症状,但死亡率明显降低。尽管被称为猴痘,但该病毒并非起源于猴子。该病毒与几种啮齿动物和小型哺乳动物有关,但猴痘的确切来源仍不清楚。它最初是在猕猴身上发现的;因此它被命名为猴痘。尽管人与人之间猴痘的传播极为罕见,但它常与感染者呼吸道飞沫或密切接触的黏膜皮肤损伤有关。这种病毒原产于西非和中非,西半球的暴发与外来宠物贸易和国际旅行有关,因此具有临床意义。接种天花疫苗会对猴痘产生偶然免疫力,但由于天花的根除和随后缺乏疫苗接种活动,猴痘变得具有临床相关性。尽管天花疫苗能提供针对猴痘病毒的保护,但由于新的非免疫代际的出现,发病率仍在上升。目前,针对感染个体没有专门的治疗方法;但是,使用支持性治疗来缓解症状。在极其严重的情况下,在欧洲可能会使用替科韦瑞玛等药物进行治疗。由于没有针对症状缓解的精确建议,许多治疗方法仍在试验中。天花疫苗如 JYNNEOS 和 ACAM2000 也可作为猴痘病毒的预防措施。本文描述了人类猴痘感染的评估和治疗,并强调需要多学科团队来治疗这种疾病的患者并预防疾病暴发。