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北京某综合医院9例猴痘患者的临床分析

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目的 分析北京地区某综合医院猴痘感染者的流行病学特征、临床表现及病原学检查,为猴痘的临床诊疗提供参考依据.方法 对2023年5月至2023年10月北京市垂杨柳医院皮肤科收治的9例猴痘患者,回顾性分析其流行病学特征、临床表现及病原学检查.结果 9例患者中男8例,女1例,8例男性患者均属于男性性行为人群(MSM).临床表现为发热,生殖器脓疱、溃疡,其他部位出现水疱、脓疱,肛周脓肿,化脓性扁桃体炎,分别就诊于皮肤科、普外科、妇科、发热门诊等科室.4例患者咽拭子、血清、疱液猴痘核酸检查均阳性,3例患者有2项阳性,3例患者有1项阳性.结论 猴痘感染的诊断需综合流行病学、临床表现及病原学检查.猴痘患者就诊的科室较多,需要引起各科室医务人员的重视.
Clinical analysis of 9 cases of monkeypox in a general hospital in Beijing
Objective To investigate the epidemiological characteristics,clinical manifestation and etiology of patients infected with monkeypox in a general hospital in Beijing,thereby providing scientific evidence for the clinical diagnosis and treatment of monkeypox.Methods A retrospective study was conduct on 9 cases of MPVX infection admitted to Beijing Chui yang liu Hospital from May to October 2023. The epidemiological characteristics,clinical manifestations,and etiology examinations of patients were further analyzed.Results Among the 9 cases,8 were male and 1 was female. All 8 male patients were identified as men who have sex with men (MSM).The predominant clinical manifestations included fever,genital pustules and ulcers,vesicles and pustules on other area,perianal abscess,and suppurative tonsillitis. The patients visited various departments,including dermatology,general surgery,gynecology,and fever clinics.The etiological examination involved four tests,including pharyngeal swabs,blood serum,and vesicle and pustule fluid. 4 cases had all four positive tests,3 cases had 2 positive tests,and 2 cases had 1 positive test. Conclusions The diagnosis of monkeypox requires a comprehensive grasp of epidemiology,clinical manifestations and etiology. Monkeypox would involve multiple departments and it is important for us to pay attention highly.

MonkeypoxEpidemiologyEtiology

陈岚

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100020 北京,北京市垂杨柳医院皮肤科

猴痘 流行病学 病原学

2024

实用皮肤病学杂志
中国人民解放军北京军区总医院

实用皮肤病学杂志

CSTPCD
影响因子:0.637
ISSN:1674-1293
年,卷(期):2024.17(5)