Mpox virus: Difference between revisions

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= Microbiology =
== Microbiology ==


* Monkeypox virus (MPXV) is in the genus ''Orthopoxvirus'' and family ''Poxviridae''
* Monkeypox virus (MPXV) is in the genus ''Orthopoxvirus'' and family ''Poxviridae''


= Epidemiology =
== Epidemiology ==


* Zoonotic disease endemic to west and central Africa
* Zoonotic disease endemic to west and central Africa
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* Human-to-human transmission possible, but less than smallpox
* Human-to-human transmission possible, but less than smallpox


= Clinical Presentation =
== Clinical Presentation ==


* Clinically indistinguishible from smallpox, though may have much more pronounced lymphadenopathy
* Clinically indistinguishible from smallpox, though may have much more pronounced lymphadenopathy
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* Mortality 1-10% (per WHO)
* Mortality 1-10% (per WHO)


= Management =
== Management ==


== Post-exposure prophylaxis ==
=== Post-exposure prophylaxis ===


* ??smallpox vaccine??
* ??smallpox vaccine??

Revision as of 11:17, 16 August 2019

Microbiology

  • Monkeypox virus (MPXV) is in the genus Orthopoxvirus and family Poxviridae

Epidemiology

  • Zoonotic disease endemic to west and central Africa
    • Hosts include non-human primates and prairie dogs, squirrels, and possibly other rodents
    • Endemic countries include DRC (most common), Liberia, Ivory Coast, Sierra Leone, Nigeria, Benin, Cameroon, Gabon, and South Sudan
  • Human infection is associated with animal trapping, hunting, and skinning, and other exposures to animals including bites, feces, urine, or respiratory droplets
    • Global outbreaks may happen with the global trafficking in exotic pets
  • Human-to-human transmission possible, but less than smallpox

Clinical Presentation

  • Clinically indistinguishible from smallpox, though may have much more pronounced lymphadenopathy
  • Incubation period about 12 days
  • Fever, rash, lymphadenopathy (cervical, submandibular, and sublingual)
  • Mortality 1-10% (per WHO)

Management

Post-exposure prophylaxis

  • ??smallpox vaccine??

References

  1. ^  Emily A Siegrist, Joseph Sassine. Antivirals With Activity Against Mpox: A Clinically Oriented Review. Clinical Infectious Diseases. 2022;76(1):155-164. doi:10.1093/cid/ciac622.