Manifestaciones otorrinolaringológicas en la viruela del mono

IF 0.9 Q3 OTORHINOLARYNGOLOGY Acta otorrinolaringologica espanola Pub Date : 2023-07-01 DOI:10.1016/j.otorri.2022.10.002
Berta Alegre , Sara Jubés , Natalia Arango , Daniela Pastene , Eduardo Lehrer , Isabel Vilaseca
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Abstract

Background and objective

In the current health emergency declared by the World Health Organization (WHO) for monkeypox, few data on the otorhinolaryngological (ENT) manifestations of the disease have been detailed. The purpose of this study is to describe the clinical features of the ENT manifestations in monkeypox.

Material and methods

Descriptive analysis of 11 consecutive patients with odynodysphagia or oral cavity lesions referred to the ENT emergency department of a tertiary hospital with epidemiological risk factors suggestive of monkeypox infection. Clinical, diagnostic, and treatment findings are described.

Results

90.9% of the patients had previous unsafe sexual contact. The predominant presenting features included fever over 38 °C with severe odynodysphagia. Physical examination showed ulcers and exudative lesions of variable presentation in the upper respiratory tract. Smear of the lesions confirmed polymerase chain reaction (PCR) positivity for monkeypox in all patients.

Conclusions

Monkeypox virus infection can occur in the ENT area with multiple manifestations that require a high degree of epidemiological suspicion and confirmation with PCR to reach a diagnosis of certainty.

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猴痘的耳鼻喉科表现
背景与目的在目前世界卫生组织(世界卫生组织)宣布的猴痘突发卫生事件中,关于该病耳鼻喉科(ENT)表现的资料很少。本研究的目的是描述猴痘耳鼻喉科表现的临床特征。材料和方法连续11例转诊至三级医院耳鼻喉科急诊的吞咽困难或口腔病变患者的描述性分析,这些患者的流行病学危险因素提示猴痘感染。介绍了临床、诊断和治疗结果。结果90.9%的患者有过不安全性接触史。主要表现为发烧超过38°C,伴有严重的吞咽困难。体格检查显示上呼吸道有溃疡和渗出性病变,表现各异。病灶涂片证实所有患者的猴痘聚合酶链式反应阳性。结论猴痘病毒感染可发生在耳鼻喉科,有多种表现,需要高度的流行病学怀疑和PCR确认才能确定诊断。
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来源期刊
CiteScore
1.40
自引率
20.00%
发文量
44
审稿时长
44 days
期刊介绍: Es la revista más importante en español dedicada a la especialidad. Ofrece progresos científicos y técnicos tanto a nivel de originales como de casos clínicos. Además, es la Publicación Oficial de la Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial y está presente en los más prestigiosos índices de referencia.
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