Second case of monkeypox infection reported inside Israel

A 20-year-old man came to the Admissions Department of the Adasa Ein Kerem Hospital in Jerusalem with a fever and a rash. Laboratory tests confirmed the diagnosis of monkeypox.

It is known about the sick person that he did not travel abroad, and became infected inside Israel. This is the second case of infection inside the country, and the 13th case of the detection of the disease in Israelis.

On Wednesday, June 22, the Adas Ein Kerem hospital reported that the patient would be treated as an outpatient and quarantined.

The Ministry of Health is asking Israelis who have a high fever and rash to contact their doctor immediately.

The causative agent of monkeypox is a virus belonging to the poxvirus family. It was first isolated in 1958 from sick monkeys. It is similar in structure and properties to the human pox virus. Studies have shown that monkeypox virus is antigenically more similar to variola virus than to vaccine and vaccinia viruses. It grows well and multiplies in the shell of chicken embryos. Monkeys are the source of the infection, but there have been cases when the infection was transmitted from humans. Basically, this disease is diagnosed in patients under the age of 16 years.

Clinical picture: “The incubation period lasts from 7 to 19 days. The disease begins acutely, suddenly, with fever, headaches and muscle pains, dizziness, nausea, vomiting are also quite possible. The subsequent dynamics of the disease is similar to the symptoms of smallpox, often mild and moderate form.The main difference between monkeypox and human smallpox is the presence of lymphadenitis in almost 90% of patients.On the 3rd-4th day of illness, a rash appears, first on the face, then on the arms, then covers the trunk.It begins with the appearance of a spot with a diameter of about 6 -10 mm, then a papule forms at this place, which subsequently turns into a vesicle (a vesicle filled with transparent contents), then a crust forms, after which a scar remains. then the patient’s condition gradually improves.Mild forms of the disease can also be observed, in which the general condition remains normal. The total duration of the disease is 2-3 weeks.

Usually the disease proceeds benignly, a lethal outcome is observed in 10% of patients, mostly unvaccinated. Possible complications: encephalitis, meningoencephalitis, pneumonia, sepsis.

By Editor