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Pakran J, Alsaberi AM, AlFalasi A, Ibrahim TMKH, Alnuaimi AAEF, Goturu S, Mohamed M, Abraham RM, Sundaramurthi VL, Parambath AK, Jose B, Kamat D, Satish TC, Syeda JT, Gul L, Mathias R, Rasheed Vattiyamveetil S, Backar S, Krishna CV, Al Dhabal L. 'Monkeypox 2.0': Case series on a reconditioned virus causing sexually transmissible disease in urban population. Int J STD AIDS 2024:9564624241244832. [PMID: 38610106 DOI: 10.1177/09564624241244832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2024]
Abstract
BACKGROUND MPOX (Monkeypox) viral infection, a zoonotic disease previously confined to the African sub-continent, has caught attention worldwide recently due to its resurgence in a new 'avatar' among urban communities. Dermatologists in the U. A. E. started to see patients with fever and a self-limiting pustular necrotic rash that was negative for all other infectious investigations. METHODS We performed a prospective observational multicenter clinical study of the demographics, skin manifestations, and outcomes of patients presenting with necrotic pustular lesions and/or fever. RESULTS 35 cases of PCR confirmed MPOX cases, mostly in the expatriate population, were followed up and found to have high-risk heterosexual contact on an average of 1 week prior to disease onset. We found that they have characteristic annular pustular lesions with necrotic center or "Smoke ring pustules' in all cases. Lesion tenderness and predilection for the lower abdomen, pubic area, and genitalia were observed. Most cases were systemically stable, with fever lasting for an average of 4 days and elevated CRP levels. Genital lesions were prone to secondary bacterial infections. The disease was severe, with larger annular plaques in one of our patients found to be living with HIV. CONCLUSIONS The overall prognosis in healthy individuals is good, with lesions healing within an average of 2 weeks without scarring. 'New world MPOX' should be unclassified from zoonosis to a sexually transmitted infection (STI) capable of transmission in an urban population. Our findings can help in early clinical suspicion and differentiation from other STI's for primary and secondary health care physicians.
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Affiliation(s)
- Jaheersha Pakran
- Dermatology and Aesthetic center, Rashid hospital, Dubai Health Authority, Dubai, UAE
| | | | - Amani AlFalasi
- Dermatology and Aesthetic center, Rashid hospital, Dubai Health Authority, Dubai, UAE
| | | | | | | | | | | | | | | | - Beena Jose
- Department of Dermatology, Aster Medical Center, Dubai, UAE
| | - Divya Kamat
- Department of Dermatology, Union Medical Centre, Aster Clinic, Al Karama, Dubai
| | | | | | - Lubna Gul
- Department of Dermatology, Zulekha Hospital, Dubai
| | - Rohini Mathias
- Department of Dermatology, Aster Hospital and Aster Day Surgery Centre, Mankhool, Dubai
| | | | - Shaheela Backar
- Department of Dermatology, NMC Royal Hospital, Abudhabi, UAE
| | - C Vijay Krishna
- Department of Dermatology, Thumbay University Hospital, Ajman, UAE
| | - Laila Al Dhabal
- Department of Infectious disease, Rashid Hospital, Dubai Health Authority, Dubai, UAE
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