HomeLifestyleExperts understand the link between monkeypox and inflammation of the heart muscle

Experts understand the link between monkeypox and inflammation of the heart muscle

Confirmation of a 31-year-old male patient monkeypox infectionAllegedly, developed acute myocarditis A few days after the skin lesions burst, according to a report published in Journal of the American College of Cardiology (JACC) on September 2, 2022. Myocarditis or inflammation of the heart muscle (myocardium) is a condition that can reduce heart capacity to pump blood. Additionally, it can cause chest pain, shortness of breath, and a rapid or irregular heart rhythm (arrhythmia).

for the formless, monkeypox It is a viral zoonotic disease (a virus transmitted from animals to humans), although it is clinically less severe, with symptoms similar to (seen in the past) in patients with smallpox, according to the World Health Organization (WHO), whose director-general, Tedros Adhanom Ghebreyesus, PhD, declared the current monkeypox outbreak a Public Health Emergency of International Concern (PHEIC) in July this year.

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Based on cardiac magnetic resonance studies, case studies confirmed myocardial inflammation. Thereafter, the patient was treated with supportive care and made a full clinical recovery. But this case highlights cardiac involvement as a potential complication associated with monkeypox, the case study noted.

monkeypox Monkeypox is caused by monkeypox virus, a member of the orthopoxvirus genus in the family Poxviridae. (Representational/WikiCommons)

According to Sheela Murali Chakraborty, Director- Internal Medicine, Fortis Hospital, Bannerghatta Road, Bengaluru, viral diseases cause inflammation in the body as both a cause and an effect. “Swelling can happen in any organ but the most common are the nerves and the heart because they require a lot of energy. This inflammation, in turn, can affect myocarditis (inflammation of the heart muscle) and cause heart problems and encephalitis (inflammation of the brain),” Dr Murali Chakraborty said.

So should everyone be worried? Dr Ankita Baidya, Consultant – Infectious Diseases, HCMCT Manipal Hospital, Dwarka said that like in this “special case study”, the possibility is rare in the clinical scenario. “As we see, in the case report, the patient was a special case in a condition that was recently covered COVID-19 and was on pre-exposure prophylaxis for HIV,” she said.

She also agreed that viral myocarditis is nothing new and that in some complicated cases, chickenpox can also cause it. “Similarly, monkeypox can also cause myocarditis in the form of viral myocarditis. Patients usually present with severe tachycardia, but this is not very common. Therefore, there is concern about monkeypox causing myocarditis, but this existing condition I am not very serious,” she said.

treatment

The condition may require hospitalization and ICU monitoring. However, treatment is supportive, Dr. Murali Chakraborty said. Recently, some studies have suggested that “neuropsychiatric symptoms are not uncommon”. “We are not expecting a tide of serious brain problems, but complications such as encephalitis and seizure may occur in a small proportion of people,” said James Brunton Badenoch, academic foundation doctor at Queen Mary University of London, in the journal. Clinical Medicine.

Know all about Monkeypox

Dr. Anita Mathew, Infectious Disease Specialist, Fortis Hospital, Mulund indianexpress.com in an earlier conversation Symptoms Monkeypox may include swollen lymph nodes, sores, low energy, back pain, skin rash, fever, muscle aches, and severe headache.

“Generally, the infected person begins to develop a rash that resembles the face of a smallpox patient. The rash, which begins as a slightly red raised area, fills with a blister-like white fluid before later drying out and healing. As the WHO describes it as a ‘self-limited disease’ with symptoms lasting two to four weeks, the virus is clinically less severe,” Dr Mathew said.

According to a report in new England Journal of MedicinePrior to April this year, monkeypox virus infection in humans was rarely reported outside African regions, where it is endemic.

WHO also notes that in the current outbreak, between countries and those reported cases of monkeypox, “Infection appears to occur primarily through close physical contact, including sexual contact”. “Infection can also occur from contaminated materials such as linens, bedding, electronics, clothing, which contain infectious skin particles,” it notes.

“If a person comes in contact with a person showing symptoms of monkeypox, should isolate themselves for three to four weeks. Also, we have to continue to follow hygiene practices like washing hands frequently, wearing masks, and social distancing, Following the right precautionary measures and proctors will help us control the further spread of the virus,” advised Dr Mathew.

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