如何区分mopox与它的模仿者:一个观察性回顾性队列研究
Coline Mortier1,2, Hervé Tissot-Dupont1,2, Florian Cardona1,2
1IHU Méditerranée Infection, Marseille, France.
Journal of medical virology
|October 6, 2023
概括
马波克斯 (以前的麻疹) 经常表现出非特异性症状,使得诊断具有挑战性. 微生物学确认至关重要,在mpox阴性患者中应考虑其他条件.
科学领域:
- 传染性疾病 传染性疾病
- 病毒学 病毒学
- 临床医学 临床医学
背景情况:
- 全球mopox疫情出现了非典型的临床表现,使得流行地区以外的差异诊断复杂化.
- 准确及时诊断mopox对于患者管理和公共卫生监测至关重要.
研究的目的:
- 评估mopox在2022年爆发期间的临床特征.
- 评估疑似mpox.x.患者的诊断挑战和差异诊断.
主要方法:
- 用量化聚合酶连锁反应 (PCR) 测定非小风骨质疏松病毒,选了372名怀疑有mpox的成年患者.
- 在2022年5月至11月期间收集和分析了临床数据和微生物学结果.
主要成果:
- 在372名患者中,143名 (38.4%) 阳性测试mpox. 莫波克斯患者更频繁地表现出系统性症状,如发烧,肌痛和淋巴腺病.
- 在229名mopox阴性患者中,58名 (25.3%) 接受了其他诊断,包括水,梅毒和细菌性皮肤感染.
结论:
- 马波克斯呈现的临床特异性不佳,强调了对微生物学的确认的需要.
- 广泛的差异诊断对于有症状的患者,通过PCR对mpox呈阴性检测至关重要.
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