Hassan S, Paudyal N, Emaan A, Ibrahim S
Nobel Medical College Teaching Hospital, Kanchanbari, Morang, Biratnagar.
Kathmandu Univ Med J (KUMJ). 2023 Jan-Mar;21(81):86-93.
Monkeypox virus, now known as Mpox virus is a large, enveloped, double stranded deoxyribonucleic acid (DNA) virus belonging to the Orthopox viridae genus of the Poxviridae family. Though, Mpox, have earlier been endemic to only African countries, the 2022 outbreak has shown its rapid spread throughout the world. The May 2022 outbreak have shown primarily human to human transmission in contrast to animal to human transmission that had been seen previously. Recent data also suggest a possibility of a pre symptomatic spread. After an incubation period of 9 days, patients with Mpox can present with a prodrome of symptoms followed by a rash. If untreated, severe complications develop in the high-risk groups especially children and pregnant woman. Such groups of people will benefit from antiviral treatments. The current approach to prevent against it is pre-exposure and post exposure prophylaxis with vaccines. The vaccines that have been approved by Food and Drug Administration to date is ACAM2000 and JYNNEOS. Several diagnostic methods exist, among which polymerase chain reaction has proven to be the most specific and sensitive. In this review, we will discuss its epidemiology, the clinical manifestations, diagnostic modalities, complications, treatment approaches and preventive measures.
猴痘病毒,现称为Mpox病毒,是一种大型的、有包膜的双链脱氧核糖核酸(DNA)病毒,属于痘病毒科正痘病毒属。尽管Mpox此前仅在非洲国家流行,但2022年的疫情显示其在全球迅速传播。与之前所见的动物传人传播不同,2022年5月的疫情主要显示为人传人传播。近期数据还表明存在症状前传播的可能性。经过9天的潜伏期后,Mpox患者可能会先出现前驱症状,随后出现皮疹。如果不进行治疗,高危人群尤其是儿童和孕妇会出现严重并发症。这类人群将从抗病毒治疗中受益。目前预防该疾病的方法是通过疫苗进行暴露前和暴露后预防。美国食品药品监督管理局迄今批准的疫苗是ACAM2000和JYNNEOS。存在多种诊断方法,其中聚合酶链反应已被证明是最具特异性和敏感性的。在本综述中,我们将讨论其流行病学、临床表现、诊断方式、并发症、治疗方法和预防措施。