,1,The 2022 Monkeypox outbreak has different signs and symptoms compared to previous years, and compared to infections that are in endemic regions.
Monkeypox usually causes a specific rash after the prodromal symptoms, like severe fatigue, fevers, chills, and body aches, with swollen lymph nodes. But with this monkeypox outbreak, some patients have had genital, rectal, and/or oral lesions, but without the initial prodromal symptoms.
If there is a prodromal period, it typically lasts up to five days.The rash usually starts within 1 to 4 days of after the fever, and lasts for about two to three weeks, although the rash does sometimes appear without the prodromal symptoms.
The number of skin lesions can be anywhere from just a few, to a few thousand.
And in severe cases, they can coalesce until large sections of skin slough off.
The rash tends to involve the face, and can also involve the palms of the hands and soles of the feet.
It can also be in the mouth and throat, the inside of your eyelids, and genital areas.
In fact, with this outbreak, some patients had proctitis, meaning inflammation of the prostate gland. In some cases the only lesions found were those in the genital regions.
Lesions progress through several stages:
The painful skin lesions typically start out as 2 to 5 mm diameter spots, and then evolve into papules, then vesicles, and later pustules. They eventually crust over and fall off, about 1-2 weeks after the rash first starts.
Complications
Sometimes monkeypox can cause complications, like secondary bacterial infections, pneumonia, sepsis, and infection of the cornea of the eye, subsequent loss of vision.
During the current outbreak there have been a few unusual presentations.
For instance, some people started with the rash in the genital areas, with later spread to the face and trunk.
In other instances, the lesions never spread to the face or arms or legs.
Patients have also presented with anal and rectal pain, tenesmus, bleeding from the rectum, and tenesmus, which is the feeling that you need to pass stools, even though your bowels are already empty.
Can you die from Monkeypox?
For most people, monkeypox is a self-limited disease with the symptoms lasting 2-4 weeks. The severity of disease depends on age, and underlying health status. Children are more likely to have severe disease compared with adults. The mortality associated with monkeypox has varied. In Central Africa, where they have the worse strain, the fatality rate was around 10%. So far, with this outbreak, there havenât been any reported deaths in nonendemic countries.
How to diagnose Monkeypox
If the diagnosis of monkeypox is suspected, a lesions will need to be swabbed for PCR testing.
Blood sample testing for monkeypox virus can be used to help make the diagnosis of well, especially if viral testing is not able to be performed.
Patients with monkeypox typically have detectable levels of anti-orthopoxvirus IgM antibody during the period of 4 to 56 days after rash onset.
Treatment
Most infections are mild donât require treatment in a hospital. Other than medical care, these people should stay at home.
Unexposed people shouldnât be in the home of an infected person, if possible.
If youâre infected, and you have to be around others, the skin lesions should be covered with clothing to minimize risk of contact with monkeypox lesions, as well as wearing a mask.
Household members providing care to patients with monkeypox should use disposable gloves for direct contact with lesions, and washing of hands afterwards.
Youâll also have to be mindful that clothes, bedsheets, and towels can become contaminated, and will need to be washed accordingly.
#monkypox #covid #virus
,1,Monkeypox is spreading around the globe in a way that hasn't been spread before. Scientists at CDC collaborate with the Massachusetts Department of Public Health officials to investigate a situation in which a U.S. resident tested positive for monkeypox on May 18 after returning to the U.S. from Canada. Theyâre also tracking multiple clusters of monkeypox cases reported this month in several countries that donât usually report monkeypox, including Europe and North America. This is why it becomes such a concern.
Itâs not clear how people in those clusters were exposed to the monkeypox virus, but some of the known causes include people who self-identify as men who have sex with men.âŻ
So let's jump into what monkeypox is and the most important things you need to know â what causes it, how to prevent it, the symptoms, and its treatment. Monkeypox is an orthopoxvirus, and it was first isolated in the late 1950s from a colony of sick monkeys. The virus itself is basically the brother of the smallpox virus, but person-to-person spread and mortality are MUCH smaller compared to smallpox. It is widely believed that the monkeypox virus has infected humans for thousands of years in sub-Saharan Africa but wasnât actually identified as a cause of disease in HUMANS until the 1970s in the Democratic Republic of the Congo. Of all the reported 59 cases in the 1970s, 17% of them died.
How did these individuals get it?
They were exposed to small forest animals, like rodents, squirrels, and monkeys.
With the African outbreak from 1996 to 1998, the mortality rate was 5%. The first outbreak of monkeypox in the Western Hemisphere occurred in the United States in 2003. This virus is typically acquired through contact with an infected animal's bodily fluids or through a bite. Monkeys and humans are incidental hosts. The most likely culprit animal for being the reservoir hostâŠrodents. Including prairie dogs.
That US outbreak in 2003 consisted of 71 cases in the US; they identified and traced the infection back to prairie dogs, which appeared to have acquired the virus from African rodents when the two species were housed at a distribution center in Illinois. Itâs also important to note that a complex exposure, such as a bite wound from an infected animal, is more likely to cause severe infection than a non-complex exposure, such as simply touching the prairie dog. Although person-to-person transmission could not be excluded, most human cases had direct exposure to animals.
But unfortunately, Human-to-human transmission can also occur. One way is via large respiratory droplets. But unlike COVID, the virus isnât really good at spreading this way. For example, droplet transmission likely requires prolonged face-to-face contact for 3+ hours. This virus is more likely to spread when close contact with infectious skin lesions, especially during sex.
All in all, most of those cases were identified in men who have sex with men. So what happens if you get the virus? The incubation time, meaning the time of exposure to the time of developing the illness, is about 12 daysâŠ.but most monkeypox infections are asymptomatic. If you do get symptoms, youâre looking for fevers, chills, muscle aches, and swollen lymph nodes, with the famous painful, non-itchy rash you see in all the pictures. Typically, about 2 days after the fever starts, the rash appears on the chest and back and spreads outward to the palms and soles of the feet. The lesions are around 0.5 to 1 centimeter in size. They start out as spots and then progress over the next few weeks to form vesicles and pustules, and in the end, they scab up and slough off.
Doctor Mike Hansen, MD
Internal Medicine | Pulmonary Disease | Critical Care Medicine
Website: https://doctormikehansen.com/
Contact & Social Media Links: https://doctormikehansen.com/contact/
#monkeypox
0:00 Introduction
0:30 MONKEYPOX IS ONLY ENDEMIC TO PARTS OF AFRICA
1:12 MONKEYPOX IS MUCH MORE BENIGN COMPARED TO SMALLPOX
1:41 59 CASES THERE IN THE '70S
1:54 AFRICA OUTBREAK 1996-1998
3:44 SMALLOX WAS ERADICATED IN 1980
4:06 2005-2007- 760 CASES
4:23 5X LOWER RISK IF THEY RECEIVED SMALLPOX VACCINE
6:09 INCUBATION -12 DAYS
8:11 TECOVIRIMAT
8:16 TRANSLATION: IT PREVENTS THE VIRUS SPREAD IN THE BODY
8:27 SMALLPOX VACCINE PROTECTS AGAINST MONKEYPOX
8:35 MODIFIED VACCINIA ANKARA (MVA)
,1,How do you get rid of the flu in 24 hours? For most healthy people, the flu is an uncomfortable but short-term illness that resolves itself as the immune system fights it off. Symptoms usually appear from one to four days after exposure to the virus, and they last five to seven days
#flu #health #recovery
,1,Doctor Rips Joe Rogan after taking Ivermectin for COVID
Joe Rogan Got COVID. He took "the kitchen sink" for it, including ivermectin. He was also thankful for "Modern Medicine." This is, of course, after he claimed that all you need is "natural immunity."
In this video, I'm calling out Joe Rogan. This is what "Modern Medicine" has to say in response.
Also, I refer to a bunch of videos within this video, including ivermectin. Be sure to check out my other videos for more depth on COVID.
This channel is about accurate health information and was created to battle misinformation even before COVID came along.
Doctor Mike Hansen, MD
Internal Medicine | Pulmonary Disease | Critical Care Medicine
Website: https://doctormikehansen.com/
Doctor Hansen's Courses: https://doctormikehansen.com/courses/
Contact and Social Media Links: https://doctormikehansen.com/contact/
#ivermectin #covid #joerogan
