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- Title
A case of occupational transmission of mpox.
- Authors
Migaud, Pascal; Hosmann, Kai; Drauz, Daniela; Mueller, Markus; Haumann, Jonas; Stocker, Hartmut
- Abstract
Introduction: Between May 2022 and January 2023, a global mpox outbreak affected more than 84,000 patients across all continents. Transmission of mpox occurs through large respiratory droplets and direct contact with skin lesions. Case presentation: We present the case of a 31-year-old previously healthy male with mpox-Infection following occupational exposure to mpox from a needle stick injury with a sterile needle through a contaminated glove. The patient presented with a three-day history of fever, malaise, and an increasing erythema and swelling of one fingertip. The patient works as a medical doctor with regular exposure to patients infected with mpox. Mpox-PCR from a swab of the lesion and an oro-pharyngeal swab were positive. The lesion on his finger evolved into a necrotic skin lesion finally healing, leaving a scar. He did not develop any secondary pox on his skin and recovered fully. Discussion: Only a minority of patients with mpox infection develop illness with pronounced local complications as in this case. Conclusion: Mpox can potentially be transmitted in an occupational context. Medical personnel should be informed about this possible route of transmission.
- Subjects
NEEDLESTICK injuries; PHYSICAL diagnosis; CLAVULANIC acid; FEVER; ERYTHEMA; FINGER injuries; CLINDAMYCIN; MONKEYPOX; OCCUPATIONAL exposure; ANTI-infective agents; TREATMENT effectiveness; EPIDEMICS; GLOVES; INFECTIOUS disease transmission; FATIGUE (Physiology); BLOOD testing; POLYMERASE chain reaction; EDEMA; AMOXICILLIN; DISEASE complications
- Publication
Infection, 2023, Vol 51, Issue 4, p1169
- ISSN
0300-8126
- Publication type
Article
- DOI
10.1007/s15010-023-01989-x