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Monkeypox is a double-stranded DNA virus that belongs to family Poxviridae<ref name="urlICTV">{{cite web |url=https://talk.ictvonline.org/taxonomy/ |title=ICTV |format= |work= |accessdate=}}</ref><ref name="pmid9562888">{{cite journal| author=Holland J, Domingo E| title=Origin and evolution of viruses. | journal=Virus Genes | year= 1998 | volume= 16 | issue= 1 | pages= 13-21 | pmid=9562888 | doi=10.1023/a:1007989407305 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9562888  }} </ref>. It has two genetic clades: the West African clade and the Central African (Congo Basin) clade<ref name="pmid16186219">{{cite journal| author=Likos AM, Sammons SA, Olson VA, Frace AM, Li Y, Olsen-Rasmussen M | display-authors=etal| title=A tale of two clades: monkeypox viruses. | journal=J Gen Virol | year= 2005 | volume= 86 | issue= Pt 10 | pages= 2661-2672 | pmid=16186219 | doi=10.1099/vir.0.81215-0 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16186219  }} </ref>.   
Monkeypox is a double-stranded DNA virus that belongs to family Poxviridae<ref name="urlICTV">{{cite web |url=https://talk.ictvonline.org/taxonomy/ |title=ICTV |format= |work= |accessdate=}}</ref><ref name="pmid9562888">{{cite journal| author=Holland J, Domingo E| title=Origin and evolution of viruses. | journal=Virus Genes | year= 1998 | volume= 16 | issue= 1 | pages= 13-21 | pmid=9562888 | doi=10.1023/a:1007989407305 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9562888  }} </ref>. It has two genetic clades: the West African clade and the Central African (Congo Basin) clade<ref name="pmid16186219">{{cite journal| author=Likos AM, Sammons SA, Olson VA, Frace AM, Li Y, Olsen-Rasmussen M | display-authors=etal| title=A tale of two clades: monkeypox viruses. | journal=J Gen Virol | year= 2005 | volume= 86 | issue= Pt 10 | pages= 2661-2672 | pmid=16186219 | doi=10.1099/vir.0.81215-0 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16186219  }} </ref>.   


Animal-to-human: The virus can be acquired through daily exposure to an infected animal or complex exposure to an infected animal (e.g. invasive bite or scratch that breaks the skin). It can also be acquired through direct contact with lesions or bodily fluids of an infected animal. Human-to-human: The virus can be acquired through close physical contact with infected person, direct contact with lesions, bodily fluids, or respiratory secretions of an infected person<ref name="urlU.S. Monkeypox Outbreak 2022: Situation Summary | Monkeypox | Poxvirus | CDC">{{cite web |url=https://www.cdc.gov/poxvirus/monkeypox/response/2022/index.html |title=U.S. Monkeypox Outbreak 2022: Situation Summary &#124; Monkeypox &#124; Poxvirus &#124; CDC |format= |work= |accessdate=}}</ref>, via placenta from mother to fetus<ref name="urlMonkeypox">{{cite web |url=https://www.who.int/news-room/fact-sheets/detail/monkeypox |title=Monkeypox |format= |work= |accessdate=2022-06-15}}</ref><ref name="pmid35652380">{{cite journal| author=Khalil A, Samara A, O'Brien P, Morris E, Draycott T, Lees C | display-authors=etal| title=Monkeypox and pregnancy: what do obstetricians need to know? | journal=Ultrasound Obstet Gynecol | year= 2022 | volume=  | issue=  | pages=  | pmid=35652380 | doi=10.1002/uog.24968 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=35652380  }} </ref><ref name="pmid29029238">{{cite journal| author=Kisalu NK, Mokili JL| title=Toward Understanding the Outcomes of Monkeypox Infection in Human Pregnancy. | journal=J Infect Dis | year= 2017 | volume= 216 | issue= 7 | pages= 795-797 | pmid=29029238 | doi=10.1093/infdis/jix342 | pmc=6279131 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29029238  }} </ref>, or direct contact with contaminated materials<ref name="urlCDC Monkeypox Response: Transmission | CDC Online Newsroom | CDC">{{cite web |url=https://www.cdc.gov/media/releases/2022/0509-monkeypox-transmission.html |title=CDC Monkeypox Response: Transmission &#124; CDC Online Newsroom &#124; CDC |format= |work= |accessdate=}}</ref>.
Animal-to-human: The virus can be acquired through daily exposure to an infected animal or complex exposure to an infected animal (e.g. invasive bite or scratch that breaks the skin). It can also be acquired through direct contact with lesions or bodily fluids of an infected animal. Human-to-human: The virus can be acquired through close physical contact with infected person, direct contact with lesions, bodily fluids, or respiratory secretions of an infected person<ref name="urlU.S. Monkeypox Outbreak 2022: Situation Summary | Monkeypox | Poxvirus | CDC">{{cite web |url=https://www.cdc.gov/poxvirus/monkeypox/response/2022/index.html |title=U.S. Monkeypox Outbreak 2022: Situation Summary &#124; Monkeypox &#124; Poxvirus &#124; CDC |format= |work= |accessdate=}}</ref>, via placenta from mother to fetus<ref name="urlMonkeypox">{{cite web |url=https://www.who.int/news-room/fact-sheets/detail/monkeypox |title=Monkeypox |format= |work= |accessdate=2022-06-15}}</ref><ref name="pmid35652380">{{cite journal| author=Khalil A, Samara A, O'Brien P, Morris E, Draycott T, Lees C | display-authors=etal| title=Monkeypox and pregnancy: what do obstetricians need to know? | journal=Ultrasound Obstet Gynecol | year= 2022 | volume=  | issue=  | pages=  | pmid=35652380 | doi=10.1002/uog.24968 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=35652380  }} </ref><ref name="pmid29029238">{{cite journal| author=Kisalu NK, Mokili JL| title=Toward Understanding the Outcomes of Monkeypox Infection in Human Pregnancy. | journal=J Infect Dis | year= 2017 | volume= 216 | issue= 7 | pages= 795-797 | pmid=29029238 | doi=10.1093/infdis/jix342 | pmc=6279131 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29029238  }} </ref><ref name="urlNeonatal Monkeypox Virus Infection | NEJM">{{cite web | url = https://www.nejm.org/doi/full/10.1056/NEJMc2210828 | title = Neonatal Monkeypox Virus Infection &#124; NEJM | format = | work = | accessdate = 2022-10-20}}</ref>, or direct contact with contaminated materials<ref name="urlCDC Monkeypox Response: Transmission | CDC Online Newsroom | CDC">{{cite web |url=https://www.cdc.gov/media/releases/2022/0509-monkeypox-transmission.html |title=CDC Monkeypox Response: Transmission &#124; CDC Online Newsroom &#124; CDC |format= |work= |accessdate=}}</ref>.


==Causes==
==Causes==


Monkeypox virus is a member of orthopoxvirus genus, which is a subdivision of Chordopoxvirinae that belongs to family Poxviridae<ref name="urlICTV">{{cite web |url=https://talk.ictvonline.org/taxonomy/ |title=ICTV |format= |work= |accessdate=}}</ref>. It is a linear double-stranded DNA virus that multiplies in the cytoplasm of infected cell<ref name="pmid9562888">{{cite journal| author=Holland J, Domingo E| title=Origin and evolution of viruses. | journal=Virus Genes | year= 1998 | volume= 16 | issue= 1 | pages= 13-21 | pmid=9562888 | doi=10.1023/a:1007989407305 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9562888  }} </ref>.  
Monkeypox is a member of orthopoxvirus genus, which is a subdivision of Chordopoxvirinae that belongs to family Poxviridae<ref name="urlICTV">{{cite web |url=https://talk.ictvonline.org/taxonomy/ |title=ICTV |format= |work= |accessdate=}}</ref>. It is a linear double-stranded DNA virus that multiplies in the cytoplasm of infected cell<ref name="pmid9562888">{{cite journal| author=Holland J, Domingo E| title=Origin and evolution of viruses. | journal=Virus Genes | year= 1998 | volume= 16 | issue= 1 | pages= 13-21 | pmid=9562888 | doi=10.1023/a:1007989407305 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9562888  }} </ref>.  
The virus has two genetic clades: the west African clade and the central African (Congo Basin) clade<ref name="pmid16186219">{{cite journal| author=Likos AM, Sammons SA, Olson VA, Frace AM, Li Y, Olsen-Rasmussen M | display-authors=etal| title=A tale of two clades: monkeypox viruses. | journal=J Gen Virol | year= 2005 | volume= 86 | issue= Pt 10 | pages= 2661-2672 | pmid=16186219 | doi=10.1099/vir.0.81215-0 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16186219  }} </ref>.  
The virus has two genetic clades: the West African clade and the Central African (Congo Basin) clade<ref name="pmid16186219">{{cite journal| author=Likos AM, Sammons SA, Olson VA, Frace AM, Li Y, Olsen-Rasmussen M | display-authors=etal| title=A tale of two clades: monkeypox viruses. | journal=J Gen Virol | year= 2005 | volume= 86 | issue= Pt 10 | pages= 2661-2672 | pmid=16186219 | doi=10.1099/vir.0.81215-0 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16186219  }} </ref>.  


'''Animal-to-human:'''  The virus can be acquired through daily exposure to an infected animal or complex exposure to an infected animal e.g. invasive bite or scratch that breaks the skin). Also through direct contact with lesions or bodily fluids of an infected animal.  
'''Animal-to-human:'''  The virus can be acquired through daily exposure to an infected animal or complex exposure to an infected animal (e.g. invasive bite or scratch that breaks the skin). Also through direct contact with lesions or bodily fluids of an infected animal.  


'''Human-to-human:''' The virus can be acquired through close physical contact with infected person, direct contact with lesions, bodily fluids, or respiratory secretions of an infected person, or direct contact with contaminated materials. <ref name="urlCDC Monkeypox Response: Transmission | CDC Online Newsroom | CDC">{{cite web |url=https://www.cdc.gov/media/releases/2022/0509-monkeypox-transmission.html |title=CDC Monkeypox Response: Transmission &#124; CDC Online Newsroom &#124; CDC |format= |work= |accessdate=}}</ref>. The role of semen and vaginal fluids is being investigated<ref name="urlU.S. Monkeypox Outbreak 2022: Situation Summary | Monkeypox | Poxvirus | CDC">{{cite web |url=https://www.cdc.gov/poxvirus/monkeypox/response/2022/index.html |title=U.S. Monkeypox Outbreak 2022: Situation Summary &#124; Monkeypox &#124; Poxvirus &#124; CDC |format= |work= |accessdate=}}</ref>. Transmission from mother to fetus via placenta is possible, resulting in congenital monkeypox<ref name="urlMonkeypox">{{cite web |url=https://www.who.int/news-room/fact-sheets/detail/monkeypox |title=Monkeypox |format= |work= |accessdate=2022-06-15}}</ref><ref name="pmid35652380">{{cite journal| author=Khalil A, Samara A, O'Brien P, Morris E, Draycott T, Lees C | display-authors=etal| title=Monkeypox and pregnancy: what do obstetricians need to know? | journal=Ultrasound Obstet Gynecol | year= 2022 | volume=  | issue=  | pages=  | pmid=35652380 | doi=10.1002/uog.24968 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=35652380  }} </ref><ref name="pmid29029238">{{cite journal| author=Kisalu NK, Mokili JL| title=Toward Understanding the Outcomes of Monkeypox Infection in Human Pregnancy. | journal=J Infect Dis | year= 2017 | volume= 216 | issue= 7 | pages= 795-797 | pmid=29029238 | doi=10.1093/infdis/jix342 | pmc=6279131 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29029238  }} </ref>.
'''Human-to-human:''' The virus can be acquired through close physical contact with infected person, direct contact with lesions, bodily fluids, or respiratory secretions of an infected person, or direct contact with contaminated materials <ref name="urlCDC Monkeypox Response: Transmission | CDC Online Newsroom | CDC">{{cite web |url=https://www.cdc.gov/media/releases/2022/0509-monkeypox-transmission.html |title=CDC Monkeypox Response: Transmission &#124; CDC Online Newsroom &#124; CDC |format= |work= |accessdate=}}</ref>. The role of semen and vaginal fluids is being investigated<ref name="urlU.S. Monkeypox Outbreak 2022: Situation Summary | Monkeypox | Poxvirus | CDC">{{cite web |url=https://www.cdc.gov/poxvirus/monkeypox/response/2022/index.html |title=U.S. Monkeypox Outbreak 2022: Situation Summary &#124; Monkeypox &#124; Poxvirus &#124; CDC |format= |work= |accessdate=}}</ref>. Transmission from mother to fetus via placenta is possible, resulting in congenital monkeypox<ref name="urlMonkeypox">{{cite web |url=https://www.who.int/news-room/fact-sheets/detail/monkeypox |title=Monkeypox |format= |work= |accessdate=2022-06-15}}</ref><ref name="pmid35652380">{{cite journal| author=Khalil A, Samara A, O'Brien P, Morris E, Draycott T, Lees C | display-authors=etal| title=Monkeypox and pregnancy: what do obstetricians need to know? | journal=Ultrasound Obstet Gynecol | year= 2022 | volume=  | issue=  | pages=  | pmid=35652380 | doi=10.1002/uog.24968 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=35652380  }} </ref><ref name="pmid29029238">{{cite journal| author=Kisalu NK, Mokili JL| title=Toward Understanding the Outcomes of Monkeypox Infection in Human Pregnancy. | journal=J Infect Dis | year= 2017 | volume= 216 | issue= 7 | pages= 795-797 | pmid=29029238 | doi=10.1093/infdis/jix342 | pmc=6279131 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29029238  }} </ref><ref name="urlNeonatal Monkeypox Virus Infection | NEJM">{{cite web | url = https://www.nejm.org/doi/full/10.1056/NEJMc2210828 | title = Neonatal Monkeypox Virus Infection &#124; NEJM | format = | work = | accessdate = 2022-10-20}}</ref>.


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
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Latest revision as of 18:56, 20 October 2022

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Bassel Almarie M.D.[2]

Overview

Monkeypox is a double-stranded DNA virus that belongs to family Poxviridae[1][2]. It has two genetic clades: the West African clade and the Central African (Congo Basin) clade[3].

Animal-to-human: The virus can be acquired through daily exposure to an infected animal or complex exposure to an infected animal (e.g. invasive bite or scratch that breaks the skin). It can also be acquired through direct contact with lesions or bodily fluids of an infected animal. Human-to-human: The virus can be acquired through close physical contact with infected person, direct contact with lesions, bodily fluids, or respiratory secretions of an infected person[4], via placenta from mother to fetus[5][6][7][8], or direct contact with contaminated materials[9].

Causes

Monkeypox is a member of orthopoxvirus genus, which is a subdivision of Chordopoxvirinae that belongs to family Poxviridae[1]. It is a linear double-stranded DNA virus that multiplies in the cytoplasm of infected cell[2]. The virus has two genetic clades: the West African clade and the Central African (Congo Basin) clade[3].

Animal-to-human: The virus can be acquired through daily exposure to an infected animal or complex exposure to an infected animal (e.g. invasive bite or scratch that breaks the skin). Also through direct contact with lesions or bodily fluids of an infected animal.

Human-to-human: The virus can be acquired through close physical contact with infected person, direct contact with lesions, bodily fluids, or respiratory secretions of an infected person, or direct contact with contaminated materials [9]. The role of semen and vaginal fluids is being investigated[4]. Transmission from mother to fetus via placenta is possible, resulting in congenital monkeypox[5][6][7][8].

References

  1. 1.0 1.1 "ICTV".
  2. 2.0 2.1 Holland J, Domingo E (1998). "Origin and evolution of viruses". Virus Genes. 16 (1): 13–21. doi:10.1023/a:1007989407305. PMID 9562888.
  3. 3.0 3.1 Likos AM, Sammons SA, Olson VA, Frace AM, Li Y, Olsen-Rasmussen M; et al. (2005). "A tale of two clades: monkeypox viruses". J Gen Virol. 86 (Pt 10): 2661–2672. doi:10.1099/vir.0.81215-0. PMID 16186219.
  4. 4.0 4.1 "U.S. Monkeypox Outbreak 2022: Situation Summary | Monkeypox | Poxvirus | CDC".
  5. 5.0 5.1 "Monkeypox". Retrieved 2022-06-15.
  6. 6.0 6.1 Khalil A, Samara A, O'Brien P, Morris E, Draycott T, Lees C; et al. (2022). "Monkeypox and pregnancy: what do obstetricians need to know?". Ultrasound Obstet Gynecol. doi:10.1002/uog.24968. PMID 35652380 Check |pmid= value (help).
  7. 7.0 7.1 Kisalu NK, Mokili JL (2017). "Toward Understanding the Outcomes of Monkeypox Infection in Human Pregnancy". J Infect Dis. 216 (7): 795–797. doi:10.1093/infdis/jix342. PMC 6279131. PMID 29029238.
  8. 8.0 8.1 "Neonatal Monkeypox Virus Infection | NEJM". Retrieved 2022-10-20.
  9. 9.0 9.1 "CDC Monkeypox Response: Transmission | CDC Online Newsroom | CDC".