Monkeypox, demographic and clinical features. Case series
DOI:
https://doi.org/10.29176/2590843X.1881Keywords:
Monkeypox virus, VIH, Viral sexual transmitted disease, MonkeypoxAbstract
Introduction:
Monkeypox is a zoonotic viral infection endemic in Central and West Africa (1,2). In May 2022, the identification of new cases began, being the sexual infection the most frequent. Colombia ranks in third place in the Americas (1-3). We describe demographic and clinical characteristics of 11 patients diagnosed with Monkeypox.
Materials and methods:
We performed a retrospective and descriptive study of patients diagnosed with Monkeypox confirmed by PCR in pharyngeal swab or skin lesion, attended between August and December 2022 at the Central Military Hospital of Bogota, Colombia.
Results:
HIV coinfection was reported in 81.8% of the cases. 63.6% claimed MSM behavior and 27.2% MSMW. All presented general malaise and lymphadenopathy, 45% proctitis and 88.8% fever before lesions. The average time from contact to appearance of lesions was 13.7 days and all had pustules; the extremities was the most common location; seven patients had genital lesions and 2 on oral mucosa. Systemic symptoms resolved in an average of 4.3 days and skin lesions in 20 days.
Discussion:
The population of this study presents the same sociodemographic characteristics of other countries (4). Co-infection with HIV is frequent, double the prevalence reported in the literature, as well as virological failure, which leads to optimize educational measures (1,2).
Conclusion:
We report a series of cases diagnosed with monkeypox who exhibited a sociodemographic behavior similar to that reported in the world literature, with coinfection with HIV and other sexually transmitted infections suggesting a close relationship between both viruses.
Author Biographies
María Claudia Rodríguez Galvis, Hospital Militar Central, Bogotá.
Médica dermatóloga, Servicio de Dermatología, Hospital Militar Central, Bogotá.
Paula Andrea Chacón Jaramillo, Universidad Militar Nueva Granada, Bogotá.
Residente de Dermatología, Universidad Militar Nueva Granada, Bogotá.
Carlos Forero Ángel, Universidad Militar Nueva Granada, Bogotá.
Residente de Dermatología, Universidad Militar Nueva Granada, Bogotá.
Javier Hernández, Hospital Militar Central, Bogotá.
Médico dermatopatólogo, Servicio de Dermatología, Hospital Militar Central, Bogotá.
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