Universidad Peruana Cayetano Heredia

Epidemiologic characteristics and clinical features of patients with monkeypox virus infection from a hospital in Peru between July and September 2022

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dc.contributor.author Sihuincha Maldonado, Moisés
dc.contributor.author Lucchetti, Aldo Javier
dc.contributor.author Paredes Pacheco, Raisa Alessandra
dc.contributor.author Martínez Cevallos, Leonel Christian
dc.contributor.author Zumaeta Saavedra, Enrique Uless
dc.contributor.author Ponce Zapata, Lourdes Renatta
dc.contributor.author Lizarbe Huayta, Fernando Alonso
dc.contributor.author Matos Prado, Eduardo Demetrio
dc.coverage.spatial Hospital Nacional Arzobispo Loayza, Lima, Perú
dc.date.accessioned 2023-04-16T04:38:13Z
dc.date.available 2023-04-16T04:38:13Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/13368
dc.description.abstract OBJECTIVES: Monkeypox (Mpox) recent outbreak has changed in terms of predominant transmission route and typical presentation. Describing current epidemiological and clinical characteristics is crucial to identifying cases and halting transmission. METHODS: An observational study was conducted at a Peruvian tertiary-level hospital and included all individuals with Mpox virus infection between July 01 and September 03, 2022. RESULTS: Among 205 confirmed cases, 99% (202/205) were men, 94% (192/205) were men who have sex with men or bisexual, and 66% (136/205) were living with HIV. Regarding sexual behavior, 87% (179/205) had a sexual encounter 21 days before consultation, although only 8% (17/205) identified sexual contact with a Mpox confirmed case; 65% (133/205) had sexual intercourse with casual partners, 55% (112/205) reported a last sexual partner unknown, and 21.5% (44/205) continued having sexual intercourse with symptoms. Systemic symptoms were fever (162/205, 79%), malaise (123/205, 60%), headache (119/205, 58%), fatigue (105/205, 52%), and lymphadenopathy (111/205, 54%). The distribution of skin lesions was generalized (166/205, 81%), located in the anogenital area (160/205, 78%), polymorphic (174/205, 85%), and it was the first symptom identified in 46% (94/205) of cases. Overall, 10% (21/205) required hospitalization, of whom 85.7% (18/205) have HIV infection. Complications included bacterial superinfection (n = 18), proctitis (n = 6), balanitis (n = 4), and necrosis of skin lesions (n = 3). CONCLUSION: In 2022, Mpox mainly affects men who have sex with men and People living with HIV/AIDS. It presents with skin lesions localized to the anogenital area and can lead to severe complications requiring hospitalization. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries International Journal of Infectious Diseases
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Monkeypox virus en_US
dc.subject Human monkeypox en_US
dc.subject Disease outbreak en_US
dc.subject MSM en_US
dc.subject Men who have sex with men en_US
dc.title Epidemiologic characteristics and clinical features of patients with monkeypox virus infection from a hospital in Peru between July and September 2022 en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.ijid.2023.01.045
dc.relation.issn 1201-9712


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