Monkeypox in humans: a new outbreak Monkeypox (Viruela del mono) en humanos: un nuevo brote

Infection caused by Monkeypox Virus (MPVX) has small rodents as its natural reservoir and both monkeys and humans are occasional hosts. The causative agent is an Orthopoxvirus (MPVX) that was isolated in monkeys in 1958 and proved capa-ble of passing to humans in 1970. It remained contained in Af-ri...

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Detalles Bibliográficos
Autores: Martín-Delgado, Mari Cruz, Martín Sánchez, Francisco Javier, Martínez-Sellés, Manuel, Molero García, José María, Moreno Guillén, Santiago, Rodríguez-Artalejo, Fernando, Ruiz-Galiana, Julián, Cantón, Rafael, De Lucas Ramos, Pilar, García-Botella, Alejandra, García-Lledó, Alberto, Hernández-Sampelayo, Teresa, Gómez-Pavón, Javier, González del Castillo, Juan, Muñoz, Patricia, Valerio, Maricela, Catalán, Pilar, Burillo, Almudena, Cobo, Alejandro, Alcamí, Antonio, Bouza, Emilio
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:digital.csic.es:10261/370190
Acceso en línea:http://hdl.handle.net/10261/370190
Access Level:acceso abierto
Palabra clave:Monkeypox
MPVX
Poxvirus
outbreaks
vaccines
smallpox
outbreak
sexually transmitted infections
Descripción
Sumario:Infection caused by Monkeypox Virus (MPVX) has small rodents as its natural reservoir and both monkeys and humans are occasional hosts. The causative agent is an Orthopoxvirus (MPVX) that was isolated in monkeys in 1958 and proved capa-ble of passing to humans in 1970. It remained contained in Af-rica, causing isolated episodes of infection, until 2003 when an outbreak occurred in the United States following importation of animals from that continent. Since then, anecdotal cases have continued to be reported outside Africa, usually very clearly linked to travelers to those countries, but in May 2022, a broad outbreak of this disease has begun, now affecting several conti-nents, with the emergence of human cases of MPVX (H-MPVX) infection mainly among Men that have Sex with Men (MSM). The disease has an incubation time ranging from 5 to 15 days and is characterized by the presence of pustules, fever, malaise and headache. The presence of significant regional lymphade-nopathy is a differential feature with episodes of classical small-pox. Proctitis and pharyngitis, with minimal skin lesions, may be another form of presentation. Diagnosis can be confirmed by PCR testing of lesions or by demonstration of MPVX in other body fluids or tissues, although in the appropriate epidemiologic setting the clinical picture is highly suggestive of the disease. Effective drug treatment has been developed as part of programs to protect against potential bioterrorist agents and smallpox vaccinees are known to have high protection against monkey-pox. New vaccines are available, but neither the drugs nor the vaccines are yet freely available on the market. The prognosis of the disease appears, at least in adults in developed countries, to be good, with very low mortality figures and much less aggres-sive behavior than that described in classical smallpox. Isolation measures, essential for the control of the outbreak, have been published by the health authorities.