猴痘最新情况:基层医疗临床医生应了解的内容。
Update on Mpox: What the Primary Care Clinician Should Know.
作者信息
McLean Jacob, Gunaratne Shauna, Zucker Jason
机构信息
Division of Infectious Diseases, Columbia University Medical Center, 630 W 168th Street, Suite 876, New York, NY 10032, USA.
Division of Infectious Diseases, Columbia University Medical Center, 630 W 168th Street, Suite 876, New York, NY 10032, USA.
出版信息
Med Clin North Am. 2024 Mar;108(2):355-371. doi: 10.1016/j.mcna.2023.09.005. Epub 2023 Oct 20.
Mpox is a viral infection, which primarily caused sporadic outbreaks in West and Central Africa until causing a global epidemic in 2022. The disease has disproportionately affected people with human immunodeficiency virus and men who have sex with men. Transmission is through close physical contact, including sexual contact. Infection presents with a characteristic rash, with frequent anogenital involvement-polymerase chain reaction of skin lesions is diagnostic. Vaccination is available for primary prevention and postexposure prophylaxis. Treatment consists of supportive care, with antiviral medications available via clinical trials and/or for patients with severe disease.
猴痘是一种病毒感染,在2022年引发全球流行之前,主要在西非和中非引起散发性疫情。该疾病对感染人类免疫缺陷病毒的人和男男性行为者的影响尤为严重。传播途径是通过密切的身体接触,包括性接触。感染表现为特征性皮疹,常累及肛门生殖器部位——皮肤病变的聚合酶链反应具有诊断意义。有疫苗可用于一级预防和暴露后预防。治疗包括支持性护理,抗病毒药物可通过临床试验获得和/或用于重症患者。
相似文献
Med Clin North Am. 2024-3
Annu Rev Med. 2024-1-29
Clin Infect Dis. 2023-4-17
J Infect Dis. 2024-3-26
Am Fam Physician. 2023-7
Dermatologie (Heidelb). 2024-1
本文引用的文献
MMWR Morb Mortal Wkly Rep. 2023-5-19
N Engl J Med. 2023-6-29
MMWR Morb Mortal Wkly Rep. 2023-4-14
MMWR Morb Mortal Wkly Rep. 2023-4-14
Lancet Infect Dis. 2023-5
N Engl J Med. 2023-4-13