Monkeypox virus (MPXV): A Brief account of global spread, epidemiology, virology, clinical features, pathogenesis, and therapeutic interventions

Md Aminul Islam , Jubayer Mumin , Md Masudul Haque , Md. Azizul Haque , Ahrar Khan , Prosun Bhattacharya , Md Atiqul Haque
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Abstract

The largest monkeypox virus (MPXV) outbreak of the 21st century occurred in 2022, which caused epidemics in many countries. According to WHO, physical contact with infected persons, contaminated surfaces, or affected animals might be a source of this virus transmission. A febrile sickness including few symptoms found in MPX disease. Skin rash, lesions, fever, headache, fatigue, and muscle aches symptoms were observed commonly for this disease. Animal and in vitro, studies have shown that the antiviral medications cidofovir and brincidofovir are effective against MPXV. The first-generation vaccinia virus vaccine was developed in 1960, and it helped to protect against MPXV with its side effects. A second-generation vaccination with limitations was launched in 2000. However, the CDC advised vaccinations for risk groups in endemic countries, including positive patients and hospital employees. The JYNNEOS vaccine, administered in 2 doses, also provides protection from MPX. This article presents concisely the most recent findings regarding epidemiology, genomic transmission, signs and symptoms, pathogenesis, diagnosis, and therapeutic interventions for MPXV, which may be helpful to researchers and practitioners. WHO declared that MPX was no longer a global health emergency due to its declining case rate, and a number of countries have reported new incidences. Further research-based investigations must be carried out based on the 2022 outbreak.

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猴痘病毒(MPXV):简述全球传播、流行病学、病毒学、临床特征、发病机制和治疗干预措施
2022 年爆发了 21 世纪最大的猴痘病毒(MPXV)疫情,在许多国家造成流行。据世卫组织称,与感染者、受污染表面或患病动物的身体接触可能是这种病毒的传播源。发热性疾病,包括 MPX 病的少数症状。皮疹、皮损、发烧、头痛、疲劳和肌肉酸痛是该病的常见症状。动物和体外研究表明,抗病毒药物西多福韦和布林昔多福韦对 MPXV 有效。第一代疫苗于 1960 年研制成功,有助于预防 MPXV,但有副作用。2000 年推出了第二代疫苗,但有一定的局限性。不过,疾病预防控制中心建议流行国家的高危人群接种疫苗,包括阳性患者和医院员工。分两次接种的 JYNNEOS 疫苗也可预防 MPX。本文简要介绍了有关 MPXV 流行病学、基因组传播、体征和症状、发病机制、诊断和治疗干预措施的最新研究成果,可能对研究人员和从业人员有所帮助。世卫组织宣布,由于 MPX 病例率下降,该疾病已不再是全球紧急卫生事件,但一些国家又报告了新的发病率。必须根据 2022 年的疫情开展进一步的研究调查。
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