Mpox Recrudescence after SARS-CoV-2 Coinfection in a Patient with AIDS.

IF 1.6 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American Journal of Tropical Medicine and Hygiene Pub Date : 2024-12-31 Print Date: 2025-03-05 DOI:10.4269/ajtmh.24-0304
Yaqing Liu, Shi Zou, Shihui Song, Yingcai Wan, Jianbo Wu, Mingqi Luo, Wei Guo, Ke Liang
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Abstract

People living with HIV (PLWH) are known to exhibit more severe or prolonged symptoms of mpox (formerly monkeypox). However, the impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on PLWH with mpox has not been adequately described. We report a case of mpox in an AIDS patient who had recurrent symptoms due to SARS-CoV-2 infection. The patient presented with a low CD4+ lymphocyte count (CD4 count) without antiretroviral therapy (ART) and suffered from severe mpox. The ART was initiated 17 days after the diagnosis of mpox, and the patient's skin lesions began crusting after 1 week of ART. However, after a SARS-CoV-2 infection, the mpox flared up again. The patient presented with more severe symptoms than those during the initial bout and with rectal involvement. We speculate that SARS-CoV-2 infection might cause a recrudescence of mpox in AIDS patients, which requires further investigation.

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1例艾滋病患者SARS-CoV-2合并感染后m痘复发。
已知艾滋病毒感染者(PLWH)表现出更严重或更长时间的mpox(以前称为猴痘)症状。然而,严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)对mpox PLWH的影响尚未得到充分描述。我们报告一例m痘在艾滋病患者谁有复发症状,由于SARS-CoV-2感染。患者表现为CD4+淋巴细胞计数(CD4计数)低,未经抗逆转录病毒治疗(ART),并患有严重的m痘。在诊断出m痘后17天开始抗逆转录病毒治疗,患者的皮肤病变在抗逆转录病毒治疗1周后开始结痂。然而,在SARS-CoV-2感染后,麻疹再次爆发。患者表现出比初次发作时更严重的症状,并累及直肠。我们推测SARS-CoV-2感染可能导致艾滋病患者m痘复发,这需要进一步研究。
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来源期刊
American Journal of Tropical Medicine and Hygiene
American Journal of Tropical Medicine and Hygiene 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.20
自引率
3.00%
发文量
508
审稿时长
3 months
期刊介绍: The American Journal of Tropical Medicine and Hygiene, established in 1921, is published monthly by the American Society of Tropical Medicine and Hygiene. It is among the top-ranked tropical medicine journals in the world publishing original scientific articles and the latest science covering new research with an emphasis on population, clinical and laboratory science and the application of technology in the fields of tropical medicine, parasitology, immunology, infectious diseases, epidemiology, basic and molecular biology, virology and international medicine. The Journal publishes unsolicited peer-reviewed manuscripts, review articles, short reports, images in Clinical Tropical Medicine, case studies, reports on the efficacy of new drugs and methods of treatment, prevention and control methodologies,new testing methods and equipment, book reports and Letters to the Editor. Topics range from applied epidemiology in such relevant areas as AIDS to the molecular biology of vaccine development. The Journal is of interest to epidemiologists, parasitologists, virologists, clinicians, entomologists and public health officials who are concerned with health issues of the tropics, developing nations and emerging infectious diseases. Major granting institutions including philanthropic and governmental institutions active in the public health field, and medical and scientific libraries throughout the world purchase the Journal. Two or more supplements to the Journal on topics of special interest are published annually. These supplements represent comprehensive and multidisciplinary discussions of issues of concern to tropical disease specialists and health issues of developing countries
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