[Otorhinolaryngological manifestations in monkeypox].
Manifestaciones otorrinolaringológicas en la viruela del mono.
Adenopathy
Monkeypox
Odynophagia
PrEP
Tonsillitis
Ulcer
Unsafe sexual contact
Journal
Acta otorrinolaringologica espanola
ISSN: 1988-3013
Titre abrégé: Acta Otorrinolaringol Esp
Pays: Spain
ID NLM: 14540260R
Informations de publication
Date de publication:
14 Feb 2023
14 Feb 2023
Historique:
received:
25
08
2022
accepted:
08
10
2022
entrez:
23
2
2023
pubmed:
24
2
2023
medline:
24
2
2023
Statut:
aheadofprint
Résumé
In the current health emergency declared by the World Health Organization (WHO) for monkeypox, few data on the otorhinolaryngological (ENT) manifestations of the disease have been detailed. The purpose of this study is to describe the clinical features of the ENT manifestations in monkeypox. Descriptive analysis of 11 consecutive patients with odynodysphagia or oral cavity lesions referred to the ENT emergency department of a tertiary hospital with epidemiological risk factors suggestive of monkeypox infection. Clinical, diagnostic, and treatment findings are described. 90.9% of the patients had previous unsafe sexual contact. The predominant presenting features included fever over 38 °C with severe odynodysphagia. Physical examination showed ulcers and exudative lesions of variable presentation in the upper respiratory tract. Smear of the lesions confirmed polymerase chain reaction (PCR) positivity for monkeypox in all patients. Monkeypox virus infection can occur in the ENT area with multiple manifestations that require a high degree of epidemiological suspicion and confirmation with PCR to reach a diagnosis of certainty.
Sections du résumé
Background and objective
UNASSIGNED
In the current health emergency declared by the World Health Organization (WHO) for monkeypox, few data on the otorhinolaryngological (ENT) manifestations of the disease have been detailed. The purpose of this study is to describe the clinical features of the ENT manifestations in monkeypox.
Material and methods
UNASSIGNED
Descriptive analysis of 11 consecutive patients with odynodysphagia or oral cavity lesions referred to the ENT emergency department of a tertiary hospital with epidemiological risk factors suggestive of monkeypox infection. Clinical, diagnostic, and treatment findings are described.
Results
UNASSIGNED
90.9% of the patients had previous unsafe sexual contact. The predominant presenting features included fever over 38 °C with severe odynodysphagia. Physical examination showed ulcers and exudative lesions of variable presentation in the upper respiratory tract. Smear of the lesions confirmed polymerase chain reaction (PCR) positivity for monkeypox in all patients.
Conclusions
UNASSIGNED
Monkeypox virus infection can occur in the ENT area with multiple manifestations that require a high degree of epidemiological suspicion and confirmation with PCR to reach a diagnosis of certainty.
Identifiants
pubmed: 36818763
doi: 10.1016/j.otorri.2022.10.002
pii: S0001-6519(23)00003-1
pmc: PMC9927730
doi:
Types de publication
Case Reports
English Abstract
Langues
spa
Informations de copyright
© 2023 Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello. Published by Elsevier España, S.L.U. All rights reserved.
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