Clinical, epidemiological, and virological features of Mpox in Beijing, China – May 31–June 21, 2023

ABSTRACTThe first locally acquired case in the Chinese mainland was reported on May 31, 2023, lagging behind other countries. In this study, we aimed to examine the early clinical and epidemiological characteristics of the earliest cases of Mpox in Beijing, China. Additionally, we investigated the s...

Full description

Bibliographic Details
Main Authors: Xiangfeng Dou, Fu Li, Zhenyong Ren, Daitao Zhang, Jia Li, Dan Li, Yulan Sun, Haoyuan Jin, Renqing Li, Weihong Li, Xin Zhang, Yang Yang, Lei Jia, Yu Han, Wai Li, Yang Pan, Wenjie Tan, Peng Yang, Quanyi Wang
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Emerging Microbes and Infections
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/22221751.2023.2254407
_version_ 1797257053051289600
author Xiangfeng Dou
Fu Li
Zhenyong Ren
Daitao Zhang
Jia Li
Dan Li
Yulan Sun
Haoyuan Jin
Renqing Li
Weihong Li
Xin Zhang
Yang Yang
Lei Jia
Yu Han
Wai Li
Yang Pan
Wenjie Tan
Peng Yang
Quanyi Wang
author_facet Xiangfeng Dou
Fu Li
Zhenyong Ren
Daitao Zhang
Jia Li
Dan Li
Yulan Sun
Haoyuan Jin
Renqing Li
Weihong Li
Xin Zhang
Yang Yang
Lei Jia
Yu Han
Wai Li
Yang Pan
Wenjie Tan
Peng Yang
Quanyi Wang
author_sort Xiangfeng Dou
collection DOAJ
description ABSTRACTThe first locally acquired case in the Chinese mainland was reported on May 31, 2023, lagging behind other countries. In this study, we aimed to examine the early clinical and epidemiological characteristics of the earliest cases of Mpox in Beijing, China. Additionally, we investigated the sequence and transmission patterns of the Mpox virus (MPXV). We analyzed 37 reported cases of Mpox in Beijing from May 31, 2023 to June 21, 2023. The age range of the subjects was 24–51 years. Thirty-six cases (97.3%) were identified in men who have sex with men (MSM), and 19 cases (51.4%) tested positive for the human immunodeficiency virus. Thirty-three cases were symptomatic, while four were asymptomatic. Skin lesions were observed in 32 cases (97.0%), fever in 26 (78.8%), and swollen lymph nodes in 17 (51.5%). Rash typically appeared in the genital or perianal area 1–3 days before fever onset, with a minimum incubation period of 2 days. For individuals with skin rashes, the skin lesion samples showed 100% positivity and low Ct values. There were high oropharyngeal swab (75.8%) and blood (84.6%) positivity rates. All MPXV strains belonged to the B.1.3 branch of the West African lineage. These strains carried 76–86 nucleotide substitutions compared with the reference human MPXV genome, and genetic diversity was observed. Our findings provide the first insights into the landscape of early transmission of Mpox in Beijing and help inform policy formulation in the Chinese mainland.
first_indexed 2024-03-08T11:51:22Z
format Article
id doaj.art-60ee63ddaeec496aae428a369fa90718
institution Directory Open Access Journal
issn 2222-1751
language English
last_indexed 2024-04-24T22:31:31Z
publishDate 2023-12-01
publisher Taylor & Francis Group
record_format Article
series Emerging Microbes and Infections
spelling doaj.art-60ee63ddaeec496aae428a369fa907182024-03-19T19:34:17ZengTaylor & Francis GroupEmerging Microbes and Infections2222-17512023-12-0112210.1080/22221751.2023.2254407Clinical, epidemiological, and virological features of Mpox in Beijing, China – May 31–June 21, 2023Xiangfeng Dou0Fu Li1Zhenyong Ren2Daitao Zhang3Jia Li4Dan Li5Yulan Sun6Haoyuan Jin7Renqing Li8Weihong Li9Xin Zhang10Yang Yang11Lei Jia12Yu Han13Wai Li14Yang Pan15Wenjie Tan16Peng Yang17Quanyi Wang18Institute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaInstitute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaInstitute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaInstitute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaInstitute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaInstitute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaInstitute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaInstitute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaInstitute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaInstitute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaInstitute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaInstitute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaInstitute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaDepartment of Dermatology, Civil Aviation General Hospital, Beijing, People’s Republic of ChinaBeijing Fangshan District Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaInstitute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaNational Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of ChinaInstitute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaInstitute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, Beijing, People’s Republic of ChinaABSTRACTThe first locally acquired case in the Chinese mainland was reported on May 31, 2023, lagging behind other countries. In this study, we aimed to examine the early clinical and epidemiological characteristics of the earliest cases of Mpox in Beijing, China. Additionally, we investigated the sequence and transmission patterns of the Mpox virus (MPXV). We analyzed 37 reported cases of Mpox in Beijing from May 31, 2023 to June 21, 2023. The age range of the subjects was 24–51 years. Thirty-six cases (97.3%) were identified in men who have sex with men (MSM), and 19 cases (51.4%) tested positive for the human immunodeficiency virus. Thirty-three cases were symptomatic, while four were asymptomatic. Skin lesions were observed in 32 cases (97.0%), fever in 26 (78.8%), and swollen lymph nodes in 17 (51.5%). Rash typically appeared in the genital or perianal area 1–3 days before fever onset, with a minimum incubation period of 2 days. For individuals with skin rashes, the skin lesion samples showed 100% positivity and low Ct values. There were high oropharyngeal swab (75.8%) and blood (84.6%) positivity rates. All MPXV strains belonged to the B.1.3 branch of the West African lineage. These strains carried 76–86 nucleotide substitutions compared with the reference human MPXV genome, and genetic diversity was observed. Our findings provide the first insights into the landscape of early transmission of Mpox in Beijing and help inform policy formulation in the Chinese mainland.https://www.tandfonline.com/doi/10.1080/22221751.2023.2254407MpoxMPXVnext generation sequencingmen who have sex with menChina
spellingShingle Xiangfeng Dou
Fu Li
Zhenyong Ren
Daitao Zhang
Jia Li
Dan Li
Yulan Sun
Haoyuan Jin
Renqing Li
Weihong Li
Xin Zhang
Yang Yang
Lei Jia
Yu Han
Wai Li
Yang Pan
Wenjie Tan
Peng Yang
Quanyi Wang
Clinical, epidemiological, and virological features of Mpox in Beijing, China – May 31–June 21, 2023
Emerging Microbes and Infections
Mpox
MPXV
next generation sequencing
men who have sex with men
China
title Clinical, epidemiological, and virological features of Mpox in Beijing, China – May 31–June 21, 2023
title_full Clinical, epidemiological, and virological features of Mpox in Beijing, China – May 31–June 21, 2023
title_fullStr Clinical, epidemiological, and virological features of Mpox in Beijing, China – May 31–June 21, 2023
title_full_unstemmed Clinical, epidemiological, and virological features of Mpox in Beijing, China – May 31–June 21, 2023
title_short Clinical, epidemiological, and virological features of Mpox in Beijing, China – May 31–June 21, 2023
title_sort clinical epidemiological and virological features of mpox in beijing china may 31 june 21 2023
topic Mpox
MPXV
next generation sequencing
men who have sex with men
China
url https://www.tandfonline.com/doi/10.1080/22221751.2023.2254407
work_keys_str_mv AT xiangfengdou clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT fuli clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT zhenyongren clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT daitaozhang clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT jiali clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT danli clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT yulansun clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT haoyuanjin clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT renqingli clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT weihongli clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT xinzhang clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT yangyang clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT leijia clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT yuhan clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT waili clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT yangpan clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT wenjietan clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT pengyang clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023
AT quanyiwang clinicalepidemiologicalandvirologicalfeaturesofmpoxinbeijingchinamay31june212023