I think a lot of people are familiar with monkeypox, more or less. Monkeypox is a mild infectious disease caused by a group of viruses. Orthopoxvirus which is the same group as smallpox or smallpox virus It is found mainly in many parts of Central and West Africa. It is not serious and the risk of infection is low. but it is found mainly in young children. Parents, therefore, must closely observe and supervise their children.
Speaking of this, on October 21, there was a Twitter user named @DrSeanSkinSch Or Dr. Sun, a dermatologist, came to tell an interesting case as a case study. This case is a case of monkeypox caused by labor when a doctor stabbed by a needle (The needle was used to collect the secretions of a patient with pustules that would later become Monkeypox). The highlight is that in this case the medical gloves are not torn at all.
What is interesting in this case is the infection caused by the needle penetrating the skin. (percutaneous transmission) The incubation period is very short. Symptoms begin with a single blister at the needle site. followed by systemic symptoms (fever, chills, aches)
Changes in the skin lesion of the Moneypox index finger in this doctor A) Day 4 B) Day 6 C) Day 18 D) A necrotic lesion was found on day 24.
A) Day 7, swelling, redness, sharp edges, pain, a line from the left index to the armpit B) Subsequently, the inflammation in the finger increased. and have lymphatic vessels (#lymphangitis) on their left arm
The lesson from this case is Don’t use a needle or knife to collect the samples. It is sufficient to scrape the surface of the lesion with a blunt material such as forceps (blunt dissection). and is an indication for vaccination after exposure (post-exposure prophylaxis)
In the journal stated that this doctor takes antibiotics Since the lymphatic vessels are inflamed, there is a suspicion of a duplicate bacterial infection. General systemic symptoms had improved. The finger is treated by removing the necrosis from the wound. This debridement was not vaccinated or antiviral for Tecovirimat because it did not meet the criteria or has no indications.
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