Smallpox of monkeys, three cases in Lombardy: infections abroad

from Stefania Chiale

One patient was diagnosed positive at the San Raffaele in Milan and another at the hospital in Verona. Both are in solitary confinement in their own homes

Two new cases of monkeypox in Lombardy. Tonight the Directorate-General for Welfare issued the note according to which the analyzes on two other suspected cases they gave a positive result.

Travel abroad

The first patient was diagnosed positive since San Raffaele of Milan with the support of Asst Sacco, which together with the Ircss San Matteo of Pavia is the reference center for the analyzes. The second was found from the Verona hospital. Both cases are attributable to international clusters and both patients are now in isolation at their homeunder observation and in stable conditions not worrying.

Contact tracking

The first Lombard case of monkeypox was found on Tuesday evening, as the sixth in Italy, by Sacco. Also for this patient it was found that the strain was not autochthonous but it came from abroad: could be related to the outbreaks that are occurring in Germany, Portugal and Spain. Contact tracing has been activated for all.

What is it and how is it transmitted?

Monkeypox a sylvan zoonoses, which is a disease affecting wild animals, which can lead to accidental human infections. caused by the monkeypox virus which belongs to the orthopoxvirus family. Transmission occurs by contact and through droplets (the respiratory droplets emitted by sneezing, coughing or simply talking). The incubation period for monkeypox usually ranges from 6 to 13 days, but can range from 5 to 21 days. The animal reservoir of the virus remains unknown, although it is likely to be among rodents. Known risk factors are contact with live and dead animals and hunting and game consumption.

Symptoms of the disease

The disease is often self-limiting with symptoms usually resolving spontaneously within 14-21 days. Symptoms can be mild or severe, and the lesions can be very itchy or painful. Monkeypox causes a number of flu-like symptoms such as fatigue, body aches, headaches, fever, swollen lymph nodes and a rash. A suspected case is defined as a patient presenting with fever above 38.3 degrees, headache, swollen lymph nodes, back pain, myalgia, distinctive rash (varicella-like pustules, those of measles – for the diagnosis of smallpox of the monkeys – are to be discarded). For the analyzes we proceed with an oropharyngeal swab and the collection of a sample of liquid in the emerged pustules.

Case and contact management

The incubation period, as mentioned, goes from 6 to 13 days, with a maximum of 5-21 days, the feverish stage can last from 1 to 4 days, the rash phase from 2 to 4 weeks. For infected case contacts, the 21-day fiduciary quarantine is triggered. The symptomatic subject – it was shared at the summit on Monday 23 May in the Region – is hospitalized in case of need, with particular attention to extensive skin rashes, children and immunosuppressed subjects; or he puts himself in isolation until the skin lesions disappear. The Ats, in the presence of an infected case, proceed to trace the contacts.

The vaccinated

Historically, smallpox vaccination has been shown to be protective against monkeypox. Given the eradication, routine smallpox vaccination was suspended during the 1970s and 1980s in all Western countries. In Italy, vaccination was suspended in 1977 and officially repealed in 1981. But a vaccine (MVA-BN) and a specific treatment (tecovirimat) were approved in 2019 and 2022, respectively.

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May 25, 2022 (change May 26, 2022 | 08:19)

#Smallpox #monkeys #cases #Lombardy #infections

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