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一例身份误认病例:水痘带状疱疹与猴痘。

A Case of Mistaken Identity: Varicella Zoster and Monkeypox.

作者信息

Malick Hamza, Youssef Ronnie, Altman Kirstin

机构信息

Medical School, Texas A&M College of Medicine, Dallas, USA.

Dermatology, Baylor Scott & White Health, Temple, USA.

出版信息

Cureus. 2023 Jul 12;15(7):e41775. doi: 10.7759/cureus.41775. eCollection 2023 Jul.

DOI:10.7759/cureus.41775
PMID:37575831
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10416746/
Abstract

Mpox, previously referred to as monkeypox, is a zoonotic virus originally endemic to West Africa which has recently garnered significant attention due to a global outbreak. It remains a challenging diagnosis due to varying clinical presentations and similarities with other infectious pathogens. While diligent monitoring of its prevalence remains crucial, clinicians should combat recency bias when forming differentials for viral illnesses with similar presentations. Here, we discuss the case of an immigrant child with self-reported vaccination history of Varicella Zoster who was diagnosed with Mpox in the emergency department but was subsequently found to have Varicella Zoster after further testing. To effectively manage outbreaks and provide optimal care, healthcare professionals should stay up to date on the latest advancements in diagnostic techniques and available interventions.

摘要

猴痘,以前称为猴天花,是一种人畜共患病毒,最初在西非流行,最近由于全球爆发而备受关注。由于临床表现各异且与其他传染病原体相似,其诊断仍然具有挑战性。虽然对其流行情况进行认真监测仍然至关重要,但临床医生在对具有相似表现的病毒性疾病进行鉴别诊断时应避免近期偏倚。在此,我们讨论一例有自述水痘带状疱疹疫苗接种史的移民儿童病例,该儿童在急诊科被诊断为猴痘,但进一步检测后发现患有水痘带状疱疹。为了有效管理疫情并提供最佳护理,医护人员应及时了解诊断技术和可用干预措施的最新进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff4/10416746/2215705446ca/cureus-0015-00000041775-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff4/10416746/2215705446ca/cureus-0015-00000041775-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff4/10416746/2215705446ca/cureus-0015-00000041775-i01.jpg

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本文引用的文献

1
Usefulness of Non-Skin Samples in the PCR Diagnosis of Mpox (Monkeypox).非皮肤样本在猴痘(猴天花)PCR 诊断中的应用。
Viruses. 2023 Apr 30;15(5):1107. doi: 10.3390/v15051107.
2
Mimics of Monkeypox: Considerations for the emergency medicine clinician.猴痘的模拟疾病:急诊医学临床医生的考虑因素。
Am J Emerg Med. 2023 Mar;65:172-178. doi: 10.1016/j.ajem.2023.01.007. Epub 2023 Jan 5.
3
Monkeypox Virus Infections in Humans.人类猴痘病毒感染。
Clin Microbiol Rev. 2022 Dec 21;35(4):e0009222. doi: 10.1128/cmr.00092-22. Epub 2022 Nov 14.
4
Monkeypox: A focused narrative review for emergency medicine clinicians.猴痘:急诊医学临床医生重点关注的叙述性综述。
Am J Emerg Med. 2022 Nov;61:34-43. doi: 10.1016/j.ajem.2022.08.026. Epub 2022 Aug 20.
5
Monkeypox: A Review of Clinical Features, Diagnosis, and Treatment.猴痘:临床特征、诊断与治疗综述
Cureus. 2022 Jul 11;14(7):e26756. doi: 10.7759/cureus.26756. eCollection 2022 Jul.
6
Acyclovir in the treatment of chickenpox.阿昔洛韦治疗水痘
Pediatr Nurs. 1992 Sep-Oct;18(5):499-503.