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关于猴痘病毒的叙述性综述:一场正在全球范围内爆发并冲击非流行国家的疫情。

A Narrative Review on the Monkeypox Virus: An Ongoing Global Outbreak Hitting the Non-Endemic Countries.

作者信息

Nisar Hira, Saleem Omer, Sapna Fnu, Sham Sunder, Perkash Raja Sandeep, Kiran Nfn, Anjali Fnu, Mehreen Ansa, Ram Bebu

机构信息

Nephrology, Sindh Institute of Urology and Transplantation, Karachi, PAK.

Medicine, Jinnah Postgraduate Medical Centre, Karachi, PAK.

出版信息

Cureus. 2023 Aug 11;15(8):e43322. doi: 10.7759/cureus.43322. eCollection 2023 Aug.

DOI:10.7759/cureus.43322
PMID:37700987
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10493466/
Abstract

Monkeypox is a rare zoonotic DNA with lineage from the Poxviridae family, Chordopoxvirinae subfamily, and Orthopoxvirus genus. With a previous history of controlled and contained occasional outbreaks of the virus, currently, a widely erupted outbreak of monkeypox with progressively rising numbers has been reported since May 2022 in multiple countries of the western hemisphere that are not historically endemic for this infection, particularly the United Kingdom and European Union countries. We have written a comprehensive review article to help clinicians better understand the disease. The global cessation of smallpox vaccination has been hypothesized to cause the rise in monkeypox infections in recent years. Monkeypox, like any other viral infection, commences with prodromal symptoms; a maculopapular rash with centrifugal distribution usually follows. Polymerase chain reaction (PCR) confirms the diagnosis. Transmission in humans is possible through infected animals or humans. In the ongoing 2022 outbreak, the monkeypox virus has been undergoing novel mutations at an alarming rate. Treatment options for monkeypox are an area that still requires extensive research, and the utility of certain antiviral medications in treating monkeypox infection is currently being explored but is still controversial and debatable.

摘要

猴痘是一种罕见的人畜共患DNA病毒,属于痘病毒科、脊椎动物痘病毒亚科和正痘病毒属。该病毒此前曾有过偶尔爆发且得到控制的历史,目前,自2022年5月以来,西半球多个并非猴痘历史流行地区的国家,尤其是英国和欧盟国家,报告了猴痘大规模爆发且感染人数不断上升的情况。我们撰写了一篇全面的综述文章,以帮助临床医生更好地了解这种疾病。据推测,全球天花疫苗接种的停止导致了近年来猴痘感染病例的增加。猴痘和其他病毒感染一样,起初会出现前驱症状,随后通常会出现离心性分布的斑丘疹。聚合酶链反应(PCR)可确诊。猴痘在人与人之间可通过感染的动物或人进行传播。在当前2022年的疫情中,猴痘病毒正以惊人的速度发生新的突变。猴痘的治疗方案仍是一个需要广泛研究的领域,目前正在探索某些抗病毒药物治疗猴痘感染的效用,但仍存在争议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3538/10493466/41ee28b67240/cureus-0015-00000043322-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3538/10493466/05cc7b45e877/cureus-0015-00000043322-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3538/10493466/41ee28b67240/cureus-0015-00000043322-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3538/10493466/05cc7b45e877/cureus-0015-00000043322-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3538/10493466/41ee28b67240/cureus-0015-00000043322-i02.jpg

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Clinical, histopathologic, immunohistochemical, and electron microscopic findings in cutaneous monkeypox: A multicenter retrospective case series in Spain.西班牙多中心回顾性病例系列研究:皮肤猴痘的临床、组织病理学、免疫组织化学和电子显微镜检查结果。
J Am Acad Dermatol. 2023 Apr;88(4):856-863. doi: 10.1016/j.jaad.2022.12.027. Epub 2022 Dec 26.
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Recombination shapes the 2022 monkeypox (mpox) outbreak.
Open Vet J. 2024 Dec;14(12):3144-3163. doi: 10.5455/OVJ.2024.v14.i12.1. Epub 2024 Dec 31.
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Virulence. 2025 Dec;16(1):2457958. doi: 10.1080/21505594.2025.2457958. Epub 2025 Feb 8.
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