Monkeypox disease in a breastfeeding infant.
Jose Antonio Alonso-Cadenas1, David Andina-Martínez1, Caridad Jun García-García1
1Emergency Department, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.
Pediatric Dermatology
|September 30, 2022
Summary
Monkeypox can transmit from mother to infant through skin-to-skin contact, even during breastfeeding. Healthcare providers recommend limiting skin contact if a mother has suspected monkeypox lesions.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Monkeypox is a viral zoonotic disease that can cause severe illness.
- Human-to-human transmission of monkeypox occurs through direct contact with infectious rash, fluids, and contaminated materials.
- Infant infections with monkeypox are rare but pose significant risks.
Purpose of the Study:
- To report a case of presumed vertical transmission of monkeypox from mother to infant.
- To highlight the risk of monkeypox transmission during breastfeeding.
- To inform clinical practice regarding infant care during maternal monkeypox infection.
Main Methods:
- Case report of a 7-month-old infant presenting with monkeypox-like symptoms.
- Clinical examination and review of maternal medical history.
- Assessment of potential transmission routes.
Main Results:
- A previously healthy, breastfed infant presented with papulovesicular lesions, pharyngitis, and petechial enanthema.
- The infant's mother had confirmed monkeypox with similar skin lesions.
- Skin-to-skin contact, likely during breastfeeding, was identified as the probable transmission route.
Conclusions:
- Monkeypox transmission from mother to infant is possible through close contact, including breastfeeding.
- Healthcare providers should advise caution and recommend limiting skin contact for mothers with suspected monkeypox lesions.
- Further research is needed to understand the full spectrum of infant monkeypox and optimize preventive strategies.
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