Monkeypox‐related oral manifestations and implications: Should dentists keep an eye out?

Riad, Abanoub; ATTIA, Sameh

doi:10.1002/jmv.28091

Cited by 14 publications

(21 citation statements)

References 16 publications

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“…Abdominal pain, and nausea and/or vomiting, although encountered less frequently, could potentially alter the appetite of Mpox patients. Moreover, oropharyngeal lesions such as ulcers and pharyngitis, commonly encountered in Mpox patients, can lead to dysphagia and reduced oral intake [42]. Anorexia, in conjunction with other gastrointestinal symptoms, could lead to more severe complications, such as dehydration.…”

Section: Discussionmentioning

confidence: 99%

Gastrointestinal Manifestations of Monkeypox Infection: A systematic review and meta-analysis

Simadibrata

Lesmana

Pratama

et al. 2023

Preprint

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Background: Since early May 2022, outbreaks of Monkeypox (Mpox) cases have emerged and become a global concern. Studies exploring the gastrointestinal (GI) and/or liver manifestations of Mpox are still very limited. This systematic review and meta-analysis is the first to summarize the GI manifestations reported by Mpox patients. Methods: We searched for Mpox studies published until October 21, 2022, in MEDLINE, EMBASE, SCOPUS, and organization websites. Mpox studies were observational studies that reported at least one of either GI and/or liver manifestations. Meta-analysis was done to obtain the pooled prevalence of GI manifestations in Mpox patients. The quality of included studies was assessed using the NIH Quality Assessment Tool. Results: Overall, 31 studies that reported GI and/or liver manifestations in Mpox patients were included. The five most commonly reported GI manifestations by studies were abdominal pain, anorexia, diarrhea, nausea and/or vomiting, and proctitis. There is a lack of reporting for liver manifestations. The most prevalent GI manifestations in Mpox patients were anorexia (47%; 95%CI 41-53%), followed by nausea and/or vomiting (12%; 95%CI 11-13%), proctitis (11%; 95%CI 11-12%), abdominal pain (9%; 95%CI 8-10%), and diarrhea (5%; 95%CI 4-6%). Conclusion: Anorexia was the most frequently reported GI manifestation in Mpox patients, followed by nausea and/or vomiting, proctitis, abdominal pain, and diarrhea. The presentation of proctitis during the ongoing Mpox outbreak highly suggests a potential for Mpox diagnosis.

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Section: Discussionmentioning

confidence: 99%

Gastrointestinal Manifestations of Monkeypox Infection: A systematic review and meta-analysis

Simadibrata

Lesmana

Pratama

et al. 2023

Preprint

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“…Attention was called to the oral manifestations and implications of MPXV. 1 The MPXV spreads through direct contact with body fluids such as saliva, respiratory secretions in close face-to-face contact, and through broken skin and mucous membranes, among others. 2 The dental practice has been widely recognized for increased risk of bacterial and viral infections due to the close contact with patients' airways and the performance of aerosol-generating procedures.…”

Section: Postpandemic Lessons and The Monkeypox Virus Infection In Hu...mentioning

confidence: 99%

“…5 Although the cutaneous manifestations of monkeypox infection have been well documented, oral monkeypox lesions in humans are not frequently described. 1,4 The current MPXV outbreak spreads through a route of transmission that involves the direct inoculation of the virus in the oral and rectal mucosa. Moreover, the lifecycle of MPXV includes a viremic stage which is how the virus spreads from the site of inoculation to distant sites and results in the disseminated rash and eventual complications.…”

Section: Postpandemic Lessons and The Monkeypox Virus Infection In Hu...mentioning

confidence: 99%

Postpandemic lessons and the monkeypox virus infection in humans in the context of dental practice

Costa

Pedrosa

2022

Journal of Medical Virology

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“…En humanos, la viruela símica posee un periodo prodrómico de hasta 4 días, caracterizado por fiebre, cansancio, malestar general, dolor de cabeza y muscular, aunque más leves que los de la viruela (Instituto Nacional de Salud (INS), Pandey & Reddy, 2022;Riad & Attia, 2022). El síntoma diferencial de la viruela símica es la linfadenopatía (Riad & Attia, 2022). Los signos de la enfermedad inician después que desaparece la fiebre.…”

Section: Introductionunclassified

“…Dado que en la práctica odontológica el contacto cercano entre el paciente y el profesional es inevitable, el riesgo de transmisión por inhalación de gotas respirables dispersas en el entorno dental o por secreciones, no puede subestimarse. Por otra parte, los odontólogos pueden ser de utilidad en materia de vigilancia y prevención epidemiológica, siempre que sean capaces de distinguir las manifestaciones o signos distintivos de la enfermedad (Riad & Attia, 2022).…”

Section: Introductionunclassified

Manifestaciones orales de la viruela símica y recomendaciones para su prevención en la práctica odontológica

Pedraza

Palacio-Benavides

Visbal

2022

BMSA

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El brote reciente de viruela símica ha desperado el interés de la comunidad internacional por su creciente número de contagiados en países no endémicos. Entre sus síntomas se encuentran la fiebre, dolor de cabeza, fatiga, dolor muscular, exantema y linfadenoma. La cavidad bucal es el lugar en el que suelen aparecer los primeros signos de la enfermedad. Por tanto, el objetivo de este trabajo fue establecer las principales manifestaciones orales de la viruela del mono y enumerar algunas recomendaciones de prevención. Para ello, se hizo una revisión bibliográfica entre 2012 y 2022 en la base de datos PubMed, usando las palabras clave, en inglés, monkeypox, oral manifestation y transmission. Se garantizó que, de los 14 documentos seleccionados, al menos el 80%, fueran publicaron en 2022. Las manifestaciones orales más frecuentes fueron: úlcera eritematosa, vesículas-ulcerosas y las asociadas a linfadenopatía (disfagia, odinofagia y faringitis). Entre las recomendaciones se encuentran: uso de mascarilla N95 y visores faciales, lavado constante de manos y espacios y atención de contagiados solo por eventos agudos (urgencias). Aunque no se ha confirmado, es posible que el Tecovirimat sea de ayuda en pacientes con sintomatología grave. Se concluye que es necesario que los odontólogos sepan distinguir los signos orales de la enfermedad para que contribuyan a cortar la cadena de contagio y deriven prontamente a los sospechosos para que se hagan las pruebas diagnósticas y las terapias medicamentosas de manera oportuna.

show abstract

Monkeypox‐related oral manifestations and implications: Should dentists keep an eye out?

Cited by 14 publications

References 16 publications

Gastrointestinal Manifestations of Monkeypox Infection: A systematic review and meta-analysis

Gastrointestinal Manifestations of Monkeypox Infection: A systematic review and meta-analysis

Postpandemic lessons and the monkeypox virus infection in humans in the context of dental practice

Manifestaciones orales de la viruela símica y recomendaciones para su prevención en la práctica odontológica

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