دورية أكاديمية

Mpox outbreak in Rio de Janeiro, Brazil: A translational approach.

التفاصيل البيبلوغرافية
العنوان: Mpox outbreak in Rio de Janeiro, Brazil: A translational approach.
المؤلفون: Lira, Guilherme S., Ota, Victor A., Melo, Mariana Q. S., Castiñeiras, Anna C. P., Leitão, Isabela C., Silva, Bianca O., Mariani, Diana, Gonçalves, Cássia C. A., Ribeiro, Liane J., Halpern, Marcia, Abreu, Thalita F., Carneiro, Fabiana A., Scheid, Helena T., Souza, Leonardo A. V., Rodrigues, Débora G. M., Cruz, Nádia V. G., Cony, Andrea, Carvalho, Silvia, de Lima, Loyze P. O., Viala, Vincent L.
المصدر: Journal of Medical Virology; May2024, Vol. 96 Issue 5, p1-12, 12p
مصطلحات موضوعية: MONKEYPOX, ZOONOSES, HUMAN-to-human transmission, PUBLIC health, REPORTING of diseases
مصطلحات جغرافية: RIO de Janeiro (Brazil)
مستخلص: Mpox is a zoonotic disease historically reported in Africa. Since 2003, limited outbreaks have occurred outside Africa. In 2022, the global spread of cases with sustained interhuman transmission and unusual disease features raised public health concerns. We explore the mpox outbreak in Rio de Janeiro (RJ) state, Brazil, in an observational study of mpox‐suspected cases from June to December 2022. Data collection relied on a public healthcare notification form. Diagnosis was determined by MPXV‐PCR. In 46 confirmed cases, anti‐OPXV IgG was determined by ELISA, and seven MPXV genomes were sequenced. A total of 3095 cases were included, 816 (26.3%) with positive MPXV‐PCR results. Most positive cases were men in their 30 s and MSM. A total of 285 (34.9%) MPXV‐PCR+ patients live with HIV. Eight were coinfected with varicella‐zoster virus. Anogenital lesions and adenomegaly were associated with the diagnosis of mpox. Females and individuals under 18 represented 9.4% and 5.4% of all confirmed cases, respectively, showing higher PCR cycle threshold (Ct) values and fewer anogenital lesions compared to adult men. Anti‐OPXV IgG was detected in 29/46 (63.0%) patients. All analyzed sequences belonged to clade IIb. In RJ state, mpox presented a diverse clinical picture, represented mainly by mild cases with low complication rates and prominent genital involvement. The incidence in females and children was higher than usually reported. The observation of a bimodal distribution of Ct values, with few positive results, may suggest the need to review the diagnostic criteria in these groups. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Medical Virology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
قاعدة البيانات: Complementary Index
الوصف
تدمد:01466615
DOI:10.1002/jmv.29621