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Isolation of viable monkeypox virus from anal and urethral swabs, Italy, May to July 2022

EUROSURVEILLANCE (2022)

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Summary: Since May 2022, there has been an ongoing monkeypox outbreak in non-endemic countries. Four cases in young adult men in Italy, who engaged in condomless sexual intercourse, were reported. The patients are in good clinical condition and do not require specific antiviral drugs. Monkeypox viral DNA was detected in seminal fluid samples. The possibility of sexual transmission of monkeypox virus needs to be investigated.

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Mariana Perez Duque et al.

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Summary: This study investigated the clinical and virological characteristics of cases of human monkeypox in Spain. The findings showed that monkeypox caused genital, perianal, and oral lesions and complications including proctitis and tonsillitis. Lesion swabs showed the highest viral loads, suggesting close contact as the dominant transmission route in the current outbreak.

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Summary: The article presents a case of an Italian man diagnosed with monkeypox while living in Portugal, and it was found that the virus infection seemed to present in a different way, possibly through human-to-human transmission via sexual contact.

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Demographic and clinical characteristics of confirmed human monkeypox virus cases in individuals attending a sexual health centre in London, UK: an observational analysis

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Summary: In the UK, monkeypox virus infection is increasingly observed among men who have sex with men, presenting with symptoms such as fatigue, fever, and skin lesions mainly in anogenital areas. Concurrent sexually transmitted infections are common, and there is a need for improved infection control policies and prevention strategies to address this emerging public health concern.

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