Monkeypox: SP records disease-related conjunctivitis

Monkeypox: SP records disease-related conjunctivitis

In addition to symptoms of fever, fatigue, headache, muscle aches, and the appearance of skin lesions, ocular manifestations can also be associated with monkeypox. Last week, H.Olhos, an ophthalmologist reference in the capital of São Paulo, identified the first case of a patient with confirmed disease from an eye collection examination.

Four days after the skin lesions, associated with other symptoms of monkeypox such as muscle pain and headache, the 30-year-old health professional, who preferred to remain anonymous, began to show eye irritation and tearing, a condition similar to conjunctivitis. While he was still waiting for the result of his RT-PCR, a test based on collecting genetic material found in the characteristic lesions of the disease, he decided to seek ophthalmic care.

“Symptoms such as muscle pain and headache only lasted for one day. The skin lesions remained and changed their appearance over the course of the days. Four days after the onset of symptoms, I began to have eye irritation accompanied by tears. Joint, knowing that there are cases of patients with tears. Conjunctivitis in the Diagnosis of monkeypox”.

The patient was referred for collection of microbiological material from the eye. In a short time, the ophthalmological diagnosis was confirmed, as well as the positive result of RT-PCR. “In addition to isolating at home for 21 days, with only symptomatic treatment, I also had to do eye care,” the man said. He was followed up in an outpatient ophthalmology clinic and used a topical dressing, antibiotic eye drops and eye lubricants.

“This patient was positive for lesions in the inguinal region and eye lesions. We compared samples collected in different laboratories and both identified a high concentration of monkeypox viral load. This means that we were able to correlate patients who had lesions with Pedro Antonio Nogueira Filho, President of In the H.Olhos emergency room, positive skin tests can be positive for ophthalmological exams, and from there, the eye exam also becomes a diagnostic test for disease.

According to the specialist, there may be several situations inside monkeypox with visual manifestations. Due to the increase in the number of cases, it is also recommended that ophthalmologists incorporate monkeypox as part of the differential diagnosis when similar conditions presenting ophthalmic manifestations such as conjunctivitis, blepharitis, keratitis or corneal lesions, for example, arrive in the clinic.

“There are many ocular manifestations that can be associated with monkey wall. On many occasions, ocular manifestations are more frequent than other manifestations. These same manifestations can differ from images associated with headaches in the frontal region, redness of the eyelids, and eyelids. Inflammation, inflammation The conjunctiva itself, followed by corneal ulcers and difficulty looking at light, are among other corneal lesions, as well as double vision.

With the diagnosis confirmed, the patient had to maintain isolation to prevent others from contracting the disease. “There can be up to two weeks of incubation and up to three weeks of transmissibility, and it is possible for a patient who has had a positive diagnosis of monkeypox to transmit the disease. So much so that we determine the viral load by collecting the ocular surface of the tear, from the moment the Where there is contact with another person, this virus can manifest itself from this initial contamination.

Kimi Salami, a specialist in ophthalmology by the Brazilian Board of Ophthalmology (CBO) and the Brazilian Medical Association (AMB), says that changes in ophthalmology are less common than dermatological features of the disease. “In addition to conjunctivitis, other changes may appear, such as the formation of vesicles in the area around the eye, increased lymph nodes around the eye, blepharitis, keratitis, and corneal ulcers,” Kimi said.

cases of monkey pox

There are already at least 49,961 confirmed and suspected cases of the disease in the world. With more than 4,000 cases, Brazil is the third country with the largest number of monkeypox records, after the United States (17995) and Spain (6,459), according to updates from the World Health Organization (WHO) counted as of Tuesday noon. Friday, 30. Since July 23, the disease has been recognized as a global health emergency.

Tips that can prevent monkeypox and help prevent eye contamination:

  • Wash your hands frequently.
  • Avoid touching the eyes, nose and ears with the hands.
  • Do not share eye drops.
  • Do not use the drops on your own.
  • Do not share personal items such as face towels, cutlery, sheets, and pillowcases.
  • Use protective masks.

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