Department of Internal Medicine, Kasturba Medical College, Manipal, Karnataka, India.
Ann Afr Med. 2024 Apr 1;23(2):107-112. doi: 10.4103/aam.aam_12_23. Epub 2023 Aug 2.
Monkeypox is an Orthopoxvirus whose outbreak has been noted in various parts of the world in 2022. A significant outbreak has not yet occurred in India and various other developing countries. With this review, our aim is to create awareness among the health-care personnel including paramedical staff regarding epidemiology and diagnostic and infrastructure challenges. The predominant manifestation of this illness is cutaneous; however, morbidity and mortality can occur due to multiorgan involvement which is often overlooked. We have touched upon the differential diagnosis, treatment, and prevention with immunization. Recommendations have also been made from our side with respect to training of nonmedical workers in case of an outbreak in making provisional diagnosis on field, workup, and monitoring of confirmed cases at residence and in a health-care setting. This could be of great benefit in making early diagnosis, taking contact precautions, appropriate referrals, and judicious use of resources.
猴痘是一种正痘病毒,2022 年在世界多个地区都有暴发。目前印度和其他许多发展中国家还没有出现重大暴发。通过本次综述,我们旨在提高医护人员(包括辅助医务人员)对其流行病学、诊断和基础设施挑战的认识。这种疾病的主要表现为皮肤症状;但是,由于多器官受累,也可能出现发病率和死亡率,而这往往被忽视。我们已经讨论了该病的鉴别诊断、治疗和预防方法,包括免疫接种。我们还就非医务人员在暴发情况下进行现场初步诊断、检查、以及对居住地和医疗机构中确诊病例的监测提出了建议。这对于早期诊断、采取接触预防措施、适当转诊以及合理利用资源非常有益。