Case study! addicted doctor smallpox monkey from the needle used to collect the patient’s infection The incubation period is fast, less than 1 month, becoming a deadly infection.
I believe that many people are familiar with monkey pox disease, more or less. Monkeypox is a mild infectious disease caused by a group of viruses. Orthopoxvirus which is the same group as the smallpox or smallpox virus It is mainly found in many parts of Central and West Africa. It’s not serious and the risk of infection is low. but is found mostly in young children. Parents, therefore, must closely observe and supervise their children.
About this matter, on Oct. 21, there was a Twitter user named @DrSeanSkinSch Or Dr. Sun, a dermatologist, came out to tell an interesting case as a case study. This case is a case of monkey pox caused by work when a doctor stabbed by a needle (The needle was used to collect secretions from a patient with pustules that would later stand as Monkeypox). The highlight is that in this case, the medical gloves are not torn at all.
What is interesting from this case is the infection from the needle penetrating the skin. (percutaneoustransmission) The incubation period is very short. The symptoms begin with a single blister on the site of the needle. followed by systemic symptoms (fever, chills, aches)
Changes in skin lesion of Moneypox index finger in this physician 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 finger to the armpit. B) Later, the inflammation on the finger increased. and have lymphatic vessels (#lymphangitis) on the left arm
The lesson from this case is Do not use a needle or knife to collect specimens. It is enough to scrape the surface from the lesion with a non-sharp material such as Forceps (blunt dissection). and is an indication for vaccination after exposure (postexposure prophylaxis)
In the journal stated that this doctor get antibiotics Because lymphatic vessels are inflamed, there is a suspicion of a duplicate bacterial infection. The 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 indication.
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