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Monkeypox infection presenting as genital rash, Australia, May 2022
More LessRapid diagnosis and whole genome sequencing confirmed a case of monkeypox in an HIV-positive individual receiving antiretroviral therapy. The patient had a normal CD4+ T-cell count and suppressed HIV viral load and presented with a genital rash in Melbourne, Australia after return from Europe in May 2022. He subsequently developed systemic illness and disseminated rash and 11 days after symptom onset, he was hospitalised to manage painful bacterial cellulitis of the genital area.
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Ongoing monkeypox virus outbreak, Portugal, 29 April to 23 May 2022
More LessMariana Perez Duque , Sofia Ribeiro , João Vieira Martins , Pedro Casaca , Pedro Pinto Leite , Margarida Tavares , Kamal Mansinho , Luís Miguel Duque , Cândida Fernandes , Rita Cordeiro , Maria José Borrego , Ana Pelerito , Isabel Lopes de Carvalho , Sofia Núncio , Vera Manageiro , Corrado Minetti , Jorge Machado , Joana M Haussig , Roberto Croci , Gianfranco Spiteri , Ana Sofia Casal , Diana Mendes , Tiago Souto , Sara Pocinho , Teresa Fernandes , Ana Firme , Paula Vasconcelos and Graça FreitasUp to 27 May 2022, Portugal has detected 96 confirmed cases of monkeypox. We describe 27 confirmed cases (median age: 33 years (range: 22–51); all males), with an earliest symptom onset date of 29 April. Almost all cases (n = 25) live in the Lisbon and Tagus Valley health region. Most cases were neither part of identified transmission chains, nor linked to travel or had contact with symptomatic persons or with animals, suggesting the possible previously undetected spread of monkeypox.
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Family cluster of three cases of monkeypox imported from Nigeria to the United Kingdom, May 2021
More LessMost reported cases of human monkeypox occur in Central and West Africa, where the causing virus is endemic. We describe the identification and public health response to an imported case of West African monkeypox from Nigeria to the United Kingdom (UK) in May 2021. Secondary transmission from the index case occurred within the family to another adult and a toddler. Concurrent COVID-19-related control measures upon arrival and at the hospital, facilitated detection and limited the number of potential contacts.
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Two cases of monkeypox imported to the United Kingdom, September 2018
More LessAisling Vaughan , Emma Aarons , John Astbury , Sooria Balasegaram , Mike Beadsworth , Charles R Beck , Meera Chand , Catherine O’Connor , Jake Dunning , Sam Ghebrehewet , Nick Harper , Ruth Howlett-Shipley , Chikwe Ihekweazu , Michael Jacobs , Lukeki Kaindama , Parisha Katwa , Saye Khoo , Lucy Lamb , Sharon Mawdsley , Dilys Morgan , Ruth Palmer , Nick Phin , Katherine Russell , Bengü Said , Andrew Simpson , Roberto Vivancos , Michael Wade , Amanda Walsh and Jennifer WilburnIn early September 2018, two cases of monkeypox were reported in the United Kingdom (UK), diagnosed on 7 September in Cornwall (South West England) and 11 September in Blackpool (North West England). The cases were epidemiologically unconnected and had recently travelled to the UK from Nigeria, where monkeypox is currently circulating. We describe the epidemiology and the public health response for the first diagnosed cases outside the African continent since 2003.
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