The National Ministry of Health reports that the National Reference Laboratory INEI-ANLIS Malbrán confirmed on June 9th first case of monkeypox with no travel history in Argentina. This is a 36-year-old citizen residing in the Autonomous City of Buenos Aires who is currently in good health, has completed appropriate isolation and has been hospitalized for his care.
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The patient made the first consultation on June 6th in a private clinic in the city of Buenos Aires with a report of the symptom onset date of May 31st, showing headache and muscle pain, fever, back pain and the development of vesicular rashes. from June 2nd. On June 7, the case was reported and the sample was sent to the ANLIS Malbrán laboratory, which issued a positive PCR result on June 9.
This is the third confirmed case in the country. The three patients are in good health with no complications. So far, no secondary cases have been identified in close contacts.
As of June 8, 1,285 laboratory-confirmed cases have been reported worldwide in 28 countries where monkeypox is not endemic. So far, no deceased has been registered in these countries. Since the beginning of the year, 1,536 suspected cases (1,356 correspond to the Democratic Republic of the Congo) and 72 deaths have been reported on the African continent.
Monkeypox is transmitted from person to person through close contact with lesions, respiratory particles, and contaminated materials such as bedding. For outbreaks recorded in Europe, the clinical presentation is generally described as mild and most cases, like those reported in Argentina to date, present lesions in various parts of the body, including the genitals or the perigenital area. , suggesting that transmission likely occurs through physical contact during sexual activity.
The classic symptoms are: fever, headache, muscle or back pain, swollen glands and tiredness. Between 1 and 5 days later, a rash is added to the skin, which goes through various stages until it forms a scab, which then falls off. Infected people are contagious until all scabs fall off.
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In cases outside the African continent, it is observed that the presentation can be atypical (presentation of only a few lesions or even a single lesion; lesions that start in the genital or perineal/perianal area and do not spread further; lesions that appear in different (Asynchronous) stages of development and the appearance of lesions before the appearance of swollen lymph nodes, fever, malaise or other symptoms.
Modes of transmission through sexual contact remain unknown, although it is known that close physical contact can result in transmission, the role of sexual bodily fluids, including semen and vaginal fluid, in transmission is unclear.
Prevention measures include avoiding close contact with anyone with compatible symptoms (including intimate or sexual contact with anyone while sick). It must be taken into account that the risk of transmission increases during sexual activity with several people, therefore those who have participated in such an event should pay attention to their state of health in the next 21 days and consult a doctor before the appearance of symptoms associated with the disease are compatible.
Those people who exhibit any of the symptoms described should seek immediate medical attention, use a properly placed mask, and avoid close contact with others.