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Interdisciplinary management of mpox-related local complications: report on a series of cases

Monkeypox (mpox) is a viral zoonosis, and human-to-human transmission can result from close contact with the respiratory secretions and mucocutaneous lesions of an infected person. The prodromal phase is followed by an eruptive phase, with skin and/or mucosal lesions that progress through several st...

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Autores principales: Gamo Guerrero, María, Simón Gozalbo, Ana, Martín Díaz, Mariángeles, Díez Madueño, Kevin, Del Río Pena, Emilio, De la Cueva, Pablo, Talaván, Tamar, Jiménez, Eva, Torres, Juan, Valencia, Jorge, Cuevas, Guillermo, Bibiano, Carlos, Ryan, Pablo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10267306/
https://www.ncbi.nlm.nih.gov/pubmed/37324126
http://dx.doi.org/10.3389/fmed.2023.1184924
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author Gamo Guerrero, María
Simón Gozalbo, Ana
Martín Díaz, Mariángeles
Díez Madueño, Kevin
Del Río Pena, Emilio
De la Cueva, Pablo
Talaván, Tamar
Jiménez, Eva
Torres, Juan
Valencia, Jorge
Cuevas, Guillermo
Bibiano, Carlos
Ryan, Pablo
author_facet Gamo Guerrero, María
Simón Gozalbo, Ana
Martín Díaz, Mariángeles
Díez Madueño, Kevin
Del Río Pena, Emilio
De la Cueva, Pablo
Talaván, Tamar
Jiménez, Eva
Torres, Juan
Valencia, Jorge
Cuevas, Guillermo
Bibiano, Carlos
Ryan, Pablo
author_sort Gamo Guerrero, María
collection PubMed
description Monkeypox (mpox) is a viral zoonosis, and human-to-human transmission can result from close contact with the respiratory secretions and mucocutaneous lesions of an infected person. The prodromal phase is followed by an eruptive phase, with skin and/or mucosal lesions that progress through several stages at different sites. In this study, we describe the importance of interdisciplinary care management and follow-up of patients with complicated mpox. A cross-sectional study was conducted from May 2022 until August 2022 at a secondary hospital in Madrid (Spain). Out of 100 patients with mpox seen at this institution, we selected and analyzed 11 with local complications. All the patients were male at birth, and the mean age was 32 (30–42) years. The clinical manifestations included skin rash or mucosal lesions, fever, myalgia and lymphadenopathies. The most frequent local complications were pharyngitis associated with dysphagia, penile edema, infection of the mucocutaneous lesions, and ulceration of the genital lesions. A multidisciplinary team was created for the care of patients with complications secondary to mpox. The team comprised dermatologists and specialists in infectious diseases, preventive medicine, and emergency medicine. This approach improved the ability to diagnose and treat early with supportive, topical, and systemic treatment. In our center most of the cases were self-limiting, and none were life-threatening. An interdisciplinary response to a public health alert enhances the management of complex patients and should be implemented in successive outbreaks of mpox.
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spelling pubmed-102673062023-06-15 Interdisciplinary management of mpox-related local complications: report on a series of cases Gamo Guerrero, María Simón Gozalbo, Ana Martín Díaz, Mariángeles Díez Madueño, Kevin Del Río Pena, Emilio De la Cueva, Pablo Talaván, Tamar Jiménez, Eva Torres, Juan Valencia, Jorge Cuevas, Guillermo Bibiano, Carlos Ryan, Pablo Front Med (Lausanne) Medicine Monkeypox (mpox) is a viral zoonosis, and human-to-human transmission can result from close contact with the respiratory secretions and mucocutaneous lesions of an infected person. The prodromal phase is followed by an eruptive phase, with skin and/or mucosal lesions that progress through several stages at different sites. In this study, we describe the importance of interdisciplinary care management and follow-up of patients with complicated mpox. A cross-sectional study was conducted from May 2022 until August 2022 at a secondary hospital in Madrid (Spain). Out of 100 patients with mpox seen at this institution, we selected and analyzed 11 with local complications. All the patients were male at birth, and the mean age was 32 (30–42) years. The clinical manifestations included skin rash or mucosal lesions, fever, myalgia and lymphadenopathies. The most frequent local complications were pharyngitis associated with dysphagia, penile edema, infection of the mucocutaneous lesions, and ulceration of the genital lesions. A multidisciplinary team was created for the care of patients with complications secondary to mpox. The team comprised dermatologists and specialists in infectious diseases, preventive medicine, and emergency medicine. This approach improved the ability to diagnose and treat early with supportive, topical, and systemic treatment. In our center most of the cases were self-limiting, and none were life-threatening. An interdisciplinary response to a public health alert enhances the management of complex patients and should be implemented in successive outbreaks of mpox. Frontiers Media S.A. 2023-06-01 /pmc/articles/PMC10267306/ /pubmed/37324126 http://dx.doi.org/10.3389/fmed.2023.1184924 Text en Copyright © 2023 Gamo Guerrero, Simón Gozalbo, Martín Díaz, Díez Madueño, Del Río Pena, De la Cueva, Talaván, Jiménez, Torres, Valencia, Cuevas, Bibiano and Ryan. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Gamo Guerrero, María
Simón Gozalbo, Ana
Martín Díaz, Mariángeles
Díez Madueño, Kevin
Del Río Pena, Emilio
De la Cueva, Pablo
Talaván, Tamar
Jiménez, Eva
Torres, Juan
Valencia, Jorge
Cuevas, Guillermo
Bibiano, Carlos
Ryan, Pablo
Interdisciplinary management of mpox-related local complications: report on a series of cases
title Interdisciplinary management of mpox-related local complications: report on a series of cases
title_full Interdisciplinary management of mpox-related local complications: report on a series of cases
title_fullStr Interdisciplinary management of mpox-related local complications: report on a series of cases
title_full_unstemmed Interdisciplinary management of mpox-related local complications: report on a series of cases
title_short Interdisciplinary management of mpox-related local complications: report on a series of cases
title_sort interdisciplinary management of mpox-related local complications: report on a series of cases
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10267306/
https://www.ncbi.nlm.nih.gov/pubmed/37324126
http://dx.doi.org/10.3389/fmed.2023.1184924
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