2023-10-30 23:40:00
Tuesday, October 31, 2023, 6:40 a.m.
Tag :
Smallpox is still strong
1 more death
Male, 24, sick with HIV
Total number of infections: 559
The Department of Disease Control reports an outbreak of “monkeypox” in Thailand. In total, 559 people were infected and 2 died, 503 of whom were immunocompromised, 474 of whom were in the LGBT group, and 44.1% were infected with HIV. Most recently, the dead were found. One additional life, a 24-year-old man with HIV.
On October 30, Dr. Thongchai Keeratihatthayakorn Acting Director-General of the Department of Disease Control The Ministry of Public Health (MOPH) revealed that monkeypox or smallpox is a contagious disease that must be monitored. It is easily transmitted by just touching the pustules. or secretions of an infected person Situation of smallpox in Thailand. Data up to 28 October found a total of 559 infected people, 2 deaths, of whom 503 were immunocompromised patients, 503 Thais, 52 foreigners, 4 unspecified nationalities, most of whom were in the mixed gender group, 474 cases, and 274 people are known to be infected with HIV, accounting for 44.18 percent. The most common age group of patients is 30-39 years old, 241 cases, followed by 20-29 year olds, 172 cases. This week, 24 new patients were found. 9 cases in Bangkok, 3 cases in Chiang Mai and Nonthaburi, 2 cases in Phuket, 2 cases in Nakhon Pathom, Chonburi, Pathum Thani, Prachinburi, Saraburi, Udon Thani and Ubon Ratchathani, 1 case in each province.
Dr. Thongchai added that Last week, there was a report of the death of an HIV patient infected with smallpox, a 24-year-old Thai man who was HIV-infected and had been off medication for 3 years. His CD4 white blood cell level was 3 cells per milliliter. Became sick since August 25th. and was admitted to a hospital with symptoms of fever, fatigue, and rashes on the face, back, hands, and genitals. Later on September 12, he was sent for treatment at Bamrasnaradura Infectious Diseases Institute. Because the symptoms are severe Dead skin on the nose, back, and fingers. Bacterial infections complicating the skin. In this condition, the HIV patient was immunocompromised and found that the smallpox virus had spread to the lungs. cause pneumonia have opportunistic infections caused by CMV (Cytomegalovirus; CMV) even though the patient was treated with tecovirimat for 28 days in combination with HIV antiretroviral drugs. and medicines to treat other infectious diseases that were detected But there is also tissue death that spreads to a wider area. Later, he developed kidney failure and respiratory failure, leading to his death later.
The most common symptoms of monkeypox are rash, fever, and muscle pain. Enlarged lymph nodes and itching in the doctor’s treatment If the patient’s symptoms are not severe No other co-morbidities will be treated according to symptoms. But the patient’s condition is severe. Have a co-morbidity such as HIV infection The antiviral drug Tecovirimat (TPOXX) will be given. Most of the treatment results improve. There are some people who are severely immunocompromised and will die. The Ministry of Public Health has distributed these antiviral drugs to hospitals in provinces where outbreaks have been found. Monkeypox is preventable. By avoiding behavior that risks infection Refrain from having sex with strangers. Wash your hands often and do not share personal items with others.
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