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A case of severe monkeypox virus disease in an American child: emerging infections and changing professional values
Michael G Anderson1, Lawrence D Frenkel, Scott Homann
1Department of Pediatrics, University of Illinois College of Medicine at Rockford, USA.
Abstract:
Monkeypox virus disease is a rare zoonosis that until recently was limited to Central Africa. We describe the clinical features of the third child in the United States reported with this newly emerging infection. This child was part of a large cluster of individuals in the Midwest infected by prairie dogs that had contracted the virus when housed with infected small mammals imported from Africa. The differential and laboratory diagnoses and the difficulty finding physicians and nurses to care for this patient are discussed.
Insights
Monkeypox virus disease, a rare zoonosis, is emerging in the US. A child infected via prairie dogs highlights the need for clinical awareness and specialized care for this rare viral infection.
Area of Science:
- Veterinary Medicine
- Infectious Diseases
- Public Health
Background:
- Monkeypox virus disease (MPXV) is a rare zoonotic illness historically endemic to Central Africa.
- Recent emergence of MPXV outside endemic regions necessitates understanding its transmission and clinical presentation.
- The interconnectedness of global trade in animals poses risks for zoonotic disease spread.
Observation:
- This report details the clinical features of the third pediatric case of monkeypox in the United States.
- The child was part of a significant cluster of MPXV infections linked to infected prairie dogs.
- These prairie dogs acquired the virus from small mammals imported from Africa.
Findings:
- The case underscores the potential for MPXV transmission from exotic pets to humans.
- Clinical presentation in children requires careful consideration for accurate diagnosis.
- Challenges in healthcare include identifying and managing rare zoonotic infections.
Implications:
- Increased vigilance is required for diagnosing monkeypox in children presenting with relevant exposures.
- Public health strategies must address the risks associated with the exotic pet trade and zoonotic disease transmission.
- Further research is needed on the clinical spectrum and management of MPXV in pediatric populations.
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