Scars are frequently found as late sequelae in individuals affected by the 2022 mpox outbreak.

HIV PrEP STI men who have sex with men mpox

Journal

HIV medicine
ISSN: 1468-1293
Titre abrégé: HIV Med
Pays: England
ID NLM: 100897392

Informations de publication

Date de publication:
30 May 2024
Historique:
received: 10 04 2024
accepted: 17 05 2024
medline: 31 5 2024
pubmed: 31 5 2024
entrez: 31 5 2024
Statut: aheadofprint

Résumé

The 2022 mpox outbreak continues, and while progress has been made in prevention strategies and potential treatment options, data on late sequelae following mpox are scarce. This analysis aimed to assess the incidence of scar formation in individuals affected by the 2022 mpox outbreak. All individuals diagnosed with mpox at the Department of Dermatology at the Medical University of Vienna in 2022 were included in this analysis. Follow-up data were collected throughout November 2023. 'Scar formation' was defined as having at least one scar at the former active mpox lesions. At our clinic, 28 cases of mpox presented between June 2022 and October 2022 and exclusively occurred in men who have sex with men (100%, 28/28), of whom 46% (13/28) were living with HIV, and 32% (9/28) were using pre-exposure prophylaxis (PrEP). Secondary bacterial infection of mpox lesions was suspected in six individuals, and all received systemic antibiotics. Overall, 26 were followed up in November 2023 after a median time of 15 months, and scar formations were found in 43% of cases. Our data provide insights into the late yet cumulating disease burden caused by the 2022 mpox outbreak. Highly effective prevention strategies are warranted to overcome the mpox epidemic and its potential late sequelae.

Sections du résumé

BACKGROUND BACKGROUND
The 2022 mpox outbreak continues, and while progress has been made in prevention strategies and potential treatment options, data on late sequelae following mpox are scarce.
OBJECTIVE OBJECTIVE
This analysis aimed to assess the incidence of scar formation in individuals affected by the 2022 mpox outbreak.
METHODS METHODS
All individuals diagnosed with mpox at the Department of Dermatology at the Medical University of Vienna in 2022 were included in this analysis. Follow-up data were collected throughout November 2023. 'Scar formation' was defined as having at least one scar at the former active mpox lesions.
RESULTS RESULTS
At our clinic, 28 cases of mpox presented between June 2022 and October 2022 and exclusively occurred in men who have sex with men (100%, 28/28), of whom 46% (13/28) were living with HIV, and 32% (9/28) were using pre-exposure prophylaxis (PrEP). Secondary bacterial infection of mpox lesions was suspected in six individuals, and all received systemic antibiotics. Overall, 26 were followed up in November 2023 after a median time of 15 months, and scar formations were found in 43% of cases.
CONCLUSIONS CONCLUSIONS
Our data provide insights into the late yet cumulating disease burden caused by the 2022 mpox outbreak. Highly effective prevention strategies are warranted to overcome the mpox epidemic and its potential late sequelae.

Identifiants

pubmed: 38816960
doi: 10.1111/hiv.13678
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Medical Scientific Fund of the Mayor of Vienna, 21130

Informations de copyright

© 2024 The Author(s). HIV Medicine published by John Wiley & Sons Ltd on behalf of British HIV Association.

Références

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Auteurs

David Chromy (D)

Department of Dermatology, Medical University of Vienna, Vienna, Austria.
Department of Dermatology and Venereology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.

Nikolaus Urban (N)

Department of Surgery, Klinik Favoriten, Vienna Healthcare Group, Vienna, Austria.

Wolfgang Michael Bauer (WM)

Department of Dermatology, Medical University of Vienna, Vienna, Austria.

Alexander Kreuter (A)

Department of Dermatology, Venereology and Allergology, Helios St. Elisabeth Hospital Oberhausen, University of Witten/Herdecke, Oberhausen, Germany.

Robert Strassl (R)

Division of Clinical Virology, Department of Laboratory Medicine, Medical University Vienna, Vienna, Austria.

Katharina Grabmeier-Pfistershammer (K)

Department of Dermatology, Medical University of Vienna, Vienna, Austria.

Classifications MeSH