
ID4U Episode 11 Mpox Part 2
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Dr. Jessica Pelletier and Noah Kronk speak with Dr. Stephen Liang, an emergency medicine physician and infectious disease expert, about the diagnosis and management of mpox in the ED setting.
Take-Home Points:
- Two clades:
- Clade 1 (Central Africa): classic, more severe disease
- Clade 2 (West Africa): subtle, non-classic presentations including genital/anal lesions and proctitis in the 2022 global outbreak
- Transmitted via exposure to body fluids, skin lesions, or respiratory secretions
- Incubation period: 5-14 days
- Lesions can mimic a wide range of diseases - keep a broad differential, including other sexually transmitted infections in the right context
- For most patients, care is supportive
- Those with or at high risk for severe disease should receive tecovirimat
You can view the full show notes and references here: https://docs.google.com/document/d/1CS5lo3HhvE_FiuDDgPPDkUnXHf49gydahGSWiGBlDFA/edit?usp=sharing
Episode art attribution: NIAID, CC BY 2.0
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