Monkeypox
Questionnaire/history: Symptom onset 5-21 (median 7) after exposure? Fever?
Headache?
Muscle aches?
Backache?
Lymphadenopathy?
Fatigue? Onset of rash 1-3 days after onset of fever? Rash usually starting on the face before becoming more widespread? Vesicles?
Pustules?
Scabs?
Past medical history?
Current medication?
Known drug allergies?
Management: Conservative measures Self-isolation until: - No fever for 72 hours? - No new lesions for 48 hours? - All lesions have scabbed? - No lesion in the mouth? - Any lesions on the face/arms/hands have scabbed, the scabs have fallen off and fresh skin has formed underneath?
Disease notified?
Small box vaccination?
Severe disease or high risk of severe disease?
- Cidofovir?
- Tecovirimat?
Resource(s): UK Health Security Agency: Mpox (monkeypox): background information NHS Health A to Z: Monkeypox