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...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2023.1184924/full |
| _version_ | 1797814437807128576 |
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| author | María Gamo Guerrero Ana Simón Gozalbo Mariángeles Martín Díaz Kevin Díez Madueño Emilio Del Río Pena Pablo De la Cueva Pablo De la Cueva Tamar Talaván Eva Jiménez Juan Torres Juan Torres Jorge Valencia Guillermo Cuevas Guillermo Cuevas Carlos Bibiano Carlos Bibiano Pablo Ryan Pablo Ryan Pablo Ryan Pablo Ryan |
| author_facet | María Gamo Guerrero Ana Simón Gozalbo Mariángeles Martín Díaz Kevin Díez Madueño Emilio Del Río Pena Pablo De la Cueva Pablo De la Cueva Tamar Talaván Eva Jiménez Juan Torres Juan Torres Jorge Valencia Guillermo Cuevas Guillermo Cuevas Carlos Bibiano Carlos Bibiano Pablo Ryan Pablo Ryan Pablo Ryan Pablo Ryan |
| author_sort | María Gamo Guerrero |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-13T08:07:44Z |
| format | Article |
| id | doaj.art-d0e2b70b4f55408787a339ab075f9c2f |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-03-13T08:07:44Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-d0e2b70b4f55408787a339ab075f9c2f2023-06-01T04:19:40ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-06-011010.3389/fmed.2023.11849241184924Interdisciplinary management of mpox-related local complications: report on a series of casesMaría Gamo Guerrero0Ana Simón Gozalbo1Mariángeles Martín Díaz2Kevin Díez Madueño3Emilio Del Río Pena4Pablo De la Cueva5Pablo De la Cueva6Tamar Talaván7Eva Jiménez8Juan Torres9Juan Torres10Jorge Valencia11Guillermo Cuevas12Guillermo Cuevas13Carlos Bibiano14Carlos Bibiano15Pablo Ryan16Pablo Ryan17Pablo Ryan18Pablo Ryan19Dermatology Service, Infanta Leonor Hospital, Madrid, SpainDermatology Service, Infanta Leonor Hospital, Madrid, SpainDermatology Service, Infanta Leonor Hospital, Madrid, SpainDermatology Service, Infanta Leonor Hospital, Madrid, SpainDermatology Service, Infanta Leonor Hospital, Madrid, SpainDermatology Service, Infanta Leonor Hospital, Madrid, SpainFaculty of Medicine, Complutense University of Madrid, Madrid, SpainLocal Laboratory, Infanta Leonor Hospital, Madrid, SpainPreventive Medicine Service, Infanta Leonor Hospital, Madrid, SpainFaculty of Medicine, Complutense University of Madrid, Madrid, SpainInternal Medicine Service, Infanta Leonor Hospital, Madrid, SpainInfectious Diseases Unit, Internal Medicine Service, Infanta Leonor Hospital, Madrid, SpainInternal Medicine Service, Infanta Leonor Hospital, Madrid, SpainInfectious Diseases Unit, Internal Medicine Service, Infanta Leonor Hospital, Madrid, SpainFaculty of Medicine, Complutense University of Madrid, Madrid, SpainEmergency Service, Infanta Leonor Hospital, Madrid, SpainFaculty of Medicine, Complutense University of Madrid, Madrid, SpainInternal Medicine Service, Infanta Leonor Hospital, Madrid, SpainInfectious Diseases Unit, Internal Medicine Service, Infanta Leonor Hospital, Madrid, SpainBiomedical Network Research Centre on Infectious Diseases (CIBERINFECT), Madrid, SpainMonkeypox (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.https://www.frontiersin.org/articles/10.3389/fmed.2023.1184924/fullmpoxmonkeypoxoutbreakcomplicationinterdisciplinarytreatment |
| spellingShingle | María Gamo Guerrero Ana Simón Gozalbo Mariángeles Martín Díaz Kevin Díez Madueño Emilio Del Río Pena Pablo De la Cueva Pablo De la Cueva Tamar Talaván Eva Jiménez Juan Torres Juan Torres Jorge Valencia Guillermo Cuevas Guillermo Cuevas Carlos Bibiano Carlos Bibiano Pablo Ryan Pablo Ryan Pablo Ryan Pablo Ryan Interdisciplinary management of mpox-related local complications: report on a series of cases Frontiers in Medicine mpox monkeypox outbreak complication interdisciplinary treatment |
| 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 | mpox monkeypox outbreak complication interdisciplinary treatment |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1184924/full |
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