Features of Mpox infection: The analysis of the data submitted to the ID-IRI network

• Authors: RODRIGUEZ-MORALES Alfonso J.; CASCIO Antonio; ERDEM Hakan Rana; LANZAFAME Massimiliano; TAMMARO Antonella; CHRISTOVA Iva S.; EL KHOLY Amani Aly; CAG Y.; LAKATOS Botond; POPESCU Corneliu Petru; BARBOSA A. N.; ESCALERA-ANTEZANA Juan Pablo; MARTÍNEZ-OROZCO José Arturo; CHACÓN-CRUZ Enrique; ÇAŞKURLU Hülya; FERNÁNDEZ Ricardo Coll; ESER-KARLIDAG Gülden; VIECELI Tarsila; KRUMOVA Stefka T.; STEBEL Roman; ARIYO Olumuyiwa Elijah; BALJIĆ Rusmir; LLOBELL Mireia Cairó; NAGY Éva Livia; CRUZ-FLORES Raúl Adrián; ELBAHR Umran S.; GIDEON Osasona Oluwadamilola; BATALLANOS-HUARACHI Marcelo Felipe; BOSSI Philippe; CALDERON-SUAREZ Andrea; CASTILLO-QUINO Ruben; GOMEZ-DAVILA Christian; GOMEZ-ZEPEDA Mario; GONZALES Greisha M.; GONZALES-FLORES Carlos Eduardo; GONZALEZ-RODRIGUEZ Andrea; GUDINO-SOLORIO Humberto; MARTINEZ-NIEVES Daniela; MOREIRA-FLORES Miriam; OSBORNE Augustus; PALMA Pedro; TUNCER Buse
• Year of publication: 2023
• Type: Article in Periodical
• Magazine / Source: New Microbes and New Infections
• MU Faculty or unit: Faculty of Medicine
• Web: text publikace
• Doi: http://dx.doi.org/10.1016/j.nmni.2023.101154
• Keywords: mpox; outbreak; smallpox vaccine; HIV-Infected mpox
• Description: Background Mpox is a rare zoonotic disease caused by the Mpox virus. On May 21, 2022, WHO announced the emergence of confirmed Mpox cases in countries outside the endemic areas in Central and West Africa. Methods This multicentre study was performed through the Infectious Diseases International Research Initiative network. Nineteen collaborating centres in 16 countries participated in the study. Consecutive cases with positive Mpoxv-DNA results by the polymerase chain reaction test were included in the study. Results The mean age of 647 patients included in the study was 34.5.98.6% of cases were males, 95.3% were homosexual-bisexual, and 92.2% had a history of sexual contact. History of smallpox vaccination was present in 3.4% of cases. The median incubation period was 7.0 days. The most common symptoms and signs were rashes in 99.5%, lymphadenopathy in 65.1%, and fever in 54.9%. HIV infection was present in 93.8% of cases, and 17.8% were followed up in the hospital for further treatment. In the two weeks before the rash, prodromal symptoms occurred in 52.8% of cases. The incubation period was 3.5 days shorter in HIV-infected Mpox cases with CD4 count <200/µL, we disclosed the presence of lymphadenopathy, a characteristic finding for Mpox, accompanied the disease to a lesser extent in cases with smallpox vaccination. Conclusions Mpox disseminates globally, not just in the endemic areas. Knowledge of clinical features, disease transmission kinetics, and rapid and effective implementation of public health measures are paramount, as reflected by our findings in this study.