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Case of monkeypox reported in a man whose 'main risk factor' was close non-sexual contact at a crowded outdoor event

2022-08-18T10:05:29.271Z


The patient's "main risk factor was close, non-sexual contact with numerous unknown persons at a crowded outdoor event," researchers from the Stanford University School of Medicine wrote about the case.


Possible human-to-dog case of monkeypox revealed 0:43

(CNN) --

The majority of monkeypox cases in the current outbreak have been linked to sexual activity, but research published Wednesday by the US Centers for Disease Control and Prevention (CDC) , for its acronym in English) offers a new perspective on other ways in which it can spread.

  • Why listing monkeypox as a sexually transmitted disease goes beyond a simple label

One man first noticed his injury and subsequently developed a rash about two weeks after attending a "large crowded outdoor event where he had close contact with other people, including close dancing, for a few hours," according to researchers. from the Stanford University School of Medicine.

He tested positive for monkeypox after seeking care at an emergency department about a week later.

The patient's "primary risk factor was close, non-sexual contact with numerous unknown persons at a crowded outdoor event," the researchers wrote, and the case "highlights the potential for spread at such gatherings, which may have implications for epidemic control.

The event he attended in the UK was not a rave and was not attended by specifically or mostly people who identified as gay or bisexual, according to the researchers.

While many in attendance were wearing tank tops and shorts, he was wearing pants and a short-sleeved T-shirt.

He didn't notice anyone with skin lesions or that he seemed ill, and he attended a few other similar events over the next four days.

According to CDC guidance, "monkeypox can be spread to anyone" through close contact, which is often skin-to-skin, as well as intimate contact that includes sex, hugging, massage, and kissing.

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The patient, a man in his 20s who recently returned to the US after a trip to the UK, did not report any sexual contact and had no evidence of genital lesions.

Saliva samples and nasal swabs tested positive for the virus, even though the patient did not report any related signs of illness, such as fever, chills or cough.

An earlier analysis of monkeypox cases by the CDC found that early warning signs of the disease are less common in the current outbreak compared to "typical" monkeypox.

In about 2 out of 5 cases, the illness began with the rash, but no prodromal symptoms such as chills, headache, or malaise were reported.

These findings indicate that transmission may be "associated with clinical symptoms" and things like hotel bedding and high-touch areas in public settings may be modes of transmission.

However, despite no sexual contact being reported, a rectal swab from the patient tested positive for the virus, indicating "potential for sustained sexual transmission."

monkey pox

Source: cnnespanol

All news articles on 2022-08-18

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