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Ocular Mpox in a Breastfeeding Healthcare Provider
Sara Lovett1, Jayne Griffith1, Nick Lehnertz1
1Minnesota Department of Health, St. Paul, Minnesota, USA.
Open Forum Infectious Diseases
|June 14, 2024
Summary
A healthcare provider contracted mpox (monkeypox) without a rash, developing eye infections. Despite breastfeeding, her infant remained uninfected, highlighting challenges in diagnosing and managing mpox in healthcare settings.
Area of Science:
- Infectious Diseases
- Ophthalmology
- Public Health
Background:
- Mpox (monkeypox) is a viral disease that can present with a wide range of symptoms.
- Ocular mpox, an infection of the eye, can occur without a characteristic rash.
- Healthcare settings pose unique challenges for mpox transmission and management.
Purpose of the Study:
- To report a case of ocular mpox in a healthcare provider without a rash.
- To discuss diagnostic challenges of mpox in the absence of typical symptoms.
- To highlight considerations for managing lactating patients with mpox and preventing infant transmission.
Main Methods:
- Case report of a healthcare provider with suspected mpox.
- Clinical observation of ocular mpox symptoms without a rash.
- Review of exposure risks and management strategies in healthcare environments.
Main Results:
- A healthcare provider developed ocular mpox without a rash after treating an infected patient.
- The provider breastfed her infant during the illness, and the infant did not contract mpox.
- This case underscores the possibility of mpox transmission and infection without a visible rash.
Conclusions:
- Mpox diagnosis requires a high index of suspicion, even without a rash, especially in healthcare providers.
- Implementing robust infection control measures is crucial to prevent healthcare-associated mpox transmission.
- Breastfeeding may be safe during mpox illness, but further research is needed to confirm transmission risks.
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