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2022年至2025年猴痘疫情最新情况:关于其并发症、传播、诊断和治疗的全面综述

Mpox 2022 to 2025 Update: A Comprehensive Review on Its Complications, Transmission, Diagnosis, and Treatment.

作者信息

Yadav Rajesh, Chaudhary Anis Ahmad, Srivastava Ujjwal, Gupta Saurabh, Rustagi Sarvesh, Rudayni Hassan Ahmed, Kashyap Vivek Kumar, Kumar Sanjay

机构信息

Sharda School of Allied Health Sciences, Sharda University, Greater Noida 201310, India.

Department of Biology, College of Science, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh 11623, Saudi Arabia.

出版信息

Viruses. 2025 May 25;17(6):753. doi: 10.3390/v17060753.


DOI:10.3390/v17060753
PMID:40573344
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12197743/
Abstract

Monkeypox virus (Mpox virus) is a zoonotic orthopoxvirus that has gained increased global attention due to recent outbreaks. The current review reports the latest update of Mpox cases from 25 February 2022 to 29 April 2025. It also evaluates the possible major complications in human life caused by Mpox. In early 2022, more than 40 countries reported Mpox outbreaks. As of 12 June 2024, the global case count for the 2022-2023 Mpox outbreak was 97,281 confirmed cases, in 118 countries. The World Health Organization (WHO) declared the Mpox virus, a zoonotic disease, a public health emergency of international concern (PHEIC) on 14 August 2024. Mpox symptoms include fever, headache, muscle pain, and face-to-body rashes. The review also highlights Mpox virus replication, genomics, pathology, transmission, diagnosis, and antiviral therapies. The 2022 outbreak is also discussed in detail. The coinfection of HIV in patients infected with Mpox is also discussed. The evolving Mpox epidemiology has raised concerns about the disease's increasing spread in non-endemic countries, emphasizing the urgent need for control and prevention. The discussion on preventive measures, including vaccination, suggests that cross-protection against Mpox may be possible using orthopoxvirus-specific antibodies. Although there are no specific antiviral drugs available, certain drugs, such as tecovirimat, cidofovir, and ribavirin, are worth considering.

摘要

猴痘病毒是一种人畜共患的正痘病毒,由于近期的疫情爆发而受到全球越来越多的关注。本综述报告了2022年2月25日至2025年4月29日期间猴痘病例的最新情况。它还评估了猴痘可能对人类生活造成的主要并发症。2022年初,40多个国家报告了猴痘疫情。截至2024年6月12日,2022 - 2023年猴痘疫情在118个国家的全球确诊病例数为97281例。世界卫生组织(WHO)于2024年8月14日宣布猴痘病毒这一人畜共患病为国际关注的突发公共卫生事件(PHEIC)。猴痘症状包括发热、头痛、肌肉疼痛和从面部到身体的皮疹。该综述还重点介绍了猴痘病毒的复制、基因组学、病理学、传播、诊断和抗病毒治疗方法。还详细讨论了2022年的疫情。同时也讨论了感染猴痘患者中HIV的合并感染情况。不断演变的猴痘流行病学引发了人们对该疾病在非流行国家日益蔓延的担忧,强调了控制和预防的迫切需求。关于预防措施的讨论,包括疫苗接种,表明使用正痘病毒特异性抗体可能对猴痘有交叉保护作用。尽管没有可用的特效抗病毒药物,但某些药物,如tecovirimat、西多福韦和利巴韦林,值得考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7e/12197743/4ace5344de38/viruses-17-00753-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7e/12197743/a349ee514556/viruses-17-00753-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7e/12197743/d209b4abd20e/viruses-17-00753-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7e/12197743/fd6ca55b0628/viruses-17-00753-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7e/12197743/4ace5344de38/viruses-17-00753-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7e/12197743/a349ee514556/viruses-17-00753-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7e/12197743/d209b4abd20e/viruses-17-00753-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7e/12197743/fd6ca55b0628/viruses-17-00753-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7e/12197743/4ace5344de38/viruses-17-00753-g004.jpg

相似文献

[1]
Mpox 2022 to 2025 Update: A Comprehensive Review on Its Complications, Transmission, Diagnosis, and Treatment.

Viruses. 2025-5-25

[2]
Therapeutics for treating mpox in humans.

Cochrane Database Syst Rev. 2023-3-14

[3]
Effectiveness of Tecovirimat in Mpox Cases: A Systematic Review of Current Evidence.

J Med Virol. 2024-12

[4]
A systematic review to identify novel clinical characteristics of monkeypox virus infection and therapeutic and preventive strategies to combat the virus.

Arch Virol. 2023-6-29

[5]
An urgent need for diagnostic tools to address global mpox public health emergencies.

J Clin Microbiol. 2025-7-9

[6]
Epidemiology and phylogenomic characterisation of two distinct mpox outbreaks in Kinshasa, DR Congo, involving a new subclade Ia lineage: a retrospective, observational study.

Lancet. 2025-7-5

[7]
The pathophysiological and immunological background of the monkeypox virus infection: An update.

J Med Virol. 2023-1

[8]
Monkeypox: An outbreak of a rare viral disease.

J Microbiol Immunol Infect. 2024-2

[9]
Correlation between microneutralization test and a multiplexed immunoassay for evaluation of monkeypox and vaccinia virus antibodies before and after smallpox vaccination.

Front Immunol. 2025-6-23

[10]
Use of JYNNEOS (Smallpox and Mpox Vaccine, Live, Nonreplicating) for Persons Aged ≥18 Years at Risk for Mpox During an Mpox Outbreak: Recommendations of the Advisory Committee on Immunization Practices - United States, 2023.

MMWR Morb Mortal Wkly Rep. 2025-6-19

引用本文的文献

[1]
Computational investigation of potential natural compounds as inhibitors of monkeypox virus cysteine proteinase.

Front Bioinform. 2025-7-28

[2]
Modeling monkeypox transmission with a compartmental framework to evaluate testing, isolation and public awareness strategies.

Sci Rep. 2025-7-26

本文引用的文献

[1]
Structural insights into tecovirimat antiviral activity and poxvirus resistance.

Nat Microbiol. 2025-3

[2]
Antiviral activity of tecovirimat against monkeypox virus clades 1a, 1b, 2a, and 2b.

Lancet Infect Dis. 2025-3

[3]
Mpox Hepatic and Pulmonary Lesions in HIV/Hepatitis B Virus Co-Infected Patient, France.

Emerg Infect Dis. 2024-11

[4]
Therapeutic agents for the treatment of human mpox.

Curr Opin Infect Dis. 2024-12-1

[5]
Mpox outbreaks in Africa constitute a public health emergency of continental security.

Lancet Glob Health. 2024-10

[6]
Vaccine effectiveness of 3rd generation mpox vaccines against mpox and disease severity: A systematic review and meta-analysis.

Vaccine. 2024-11-14

[7]
Understanding the biology of monkeypox virus to prevent future outbreaks.

Nat Microbiol. 2024-6

[8]
Molecular Diagnosis of Human Monkeypox Virus during 2022-23 Outbreak: Preliminary Evaluation of Novel Real-Time Qualitative PCR Assays.

Microorganisms. 2024-3-27

[9]
Ongoing mpox outbreak in Kamituga, South Kivu province, associated with monkeypox virus of a novel Clade I sub-lineage, Democratic Republic of the Congo, 2024.

Euro Surveill. 2024-3

[10]
A Case of Severe Mpox Complicated with Sepsis in a Patient with HIV Infection.

Pathogens. 2023-8-23

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