17例猴痘患者临床特征分析OA北大核心CSTPCD
Clinical characteristics of 17 patients with monkeypox
目的 分析猴痘患者的流行病学及临床特征.方法 采用回顾性方法收集2023年7-10月在南宁市某院住院治疗的17例猴痘患者资料,对流行病学史、临床表现、实验室检查、治疗及预后情况进行分析总结.结果 17例患者均为男性,中位年龄28岁,其中15例(88.2％)发病前21 d内有男男性行为.主要临床表现为皮疹、发热,皮疹主要分布于肛门、会阴及生殖器(82.4％),其次为躯干和四肢(52.9％)、头面部(35.3％),足底和手掌较少见,部分患者存在腹股沟淋巴结肿大.所有患者均病情好转出院,平均住院时间7 d.结论 广西南宁地区猴痘的传播流行以男性性接触人群居多,以发热、皮疹为核心症状,所有患者病情均较轻,预后好.
Objective To analyze the epidemiological and clinical characteristics of patients with monkeypox.Methods Data of 17 patients with monkeypox hospitalized in a hospital in Nanning City from July to October 2023 were collected retrospectively.The epidemiological history,clinical manifestations,laboratory examinations,treat-ment and prognosis were analyzed and summarized.Results All 17 patients were male,with a median age of 28 years old.Fifteen(88.2％)patients were men who had sex with men(MSM)within 21 days prior to onset.Major clinical manifestations were rash and fever.Rashes distributed mainly in the anus,perineum and genitals(82.4％),followed by the trunk and limbs(52.9％),head and face(35.3％),while soles and palms were rare.Some patients had swollen inguinal lymph nodes.All patients were discharged from hospital after improvement,with an average hospital stay of 7 days.Conclusion The monkeypox epidemic in Nanning area of Guangxi occurs mainly in MSM population,with fever and rashes as the major symptoms.All patients have mild disease and good prognosis.
何耀钦;黄美祯;刘骏;梁婷婷;冯凤泉;李倩;李莎;何朝永
南宁市第四人民医院内科,广西南宁 530023南宁市第四人民医院检验科,广西南宁 530023
预防医学
猴痘流行病学临床特征男男性行为MSM
monkeypoxepidemiologyclinical characteristicsman who has sex with manMSM
《中国感染控制杂志》 2024 (008)
1007-1011 / 5
南宁市科学研究与技术开发计划课题(20213025-4);广西壮族自治区卫生健康委员会自筹经费科研课题(Z20201108)
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