Doctors reveal the difference in differential diagnosis of “monkey pox”, chickenpox and herpes, stating that monkeypox will have enlarged lymph nodes. The rash transforms into a blister for 1-2 days. The blister stage is the same throughout the body. The most severe cases of smallpox were revealed, the mortality rate was 30%, and the death rate of monkeypox was 6-10% lower than the population.
On May 29, Dr. Suprakit Jiraratwattana operating doctor Institute of Dermatology Discussing the differential diagnosis between herpes, chickenpox, shingles and monkeypox with similar blistering rashes: Herpes, chickenpox and shingles are caused by the same family of viruses. It starts as a clear blister that breaks easily. will be the original area Most of them are on the lips, genitals, coccyx. Patients may be recurring because the infection is still embedded in the nerves. When the body is weak, sleep deprivation, stress will be stimulated to emerge. Most of them are in the original area. Does not spread throughout the body, heals itself within 7-15 days if there are no complications and no symptoms of fever
As for smallpox, a fever comes first and lymph nodes are enlarged for about 1-3 days, then the rash begins. It will be your face, arms and legs, while chickenpox will be your whole body and a fever will come first as well. Then began to have rashes and blisters.
“The difference is Chickenpox when a rash appears It transforms quickly, within 12 hours from the red blister to become a blister, pustules, and in the same person, the lesion has many stages at the same time, including red blisters, blisters, and pustules mixed together, but smallpox lesions change at the same time. The body, for example, is a clear blister all over the body. whole body pustules Each phase takes longer to transform, about 1-2 days. Another point is different. chickenpox with fever but no enlarged lymph nodes Smallpox monkeys with enlarged lymph nodes which is the point used for differential diagnosis” Dr Suprakit said
Dr Suprakit said that The Pox Virus family includes cowpox, smallpox, and monkeypox. Symptoms are similar. The most severe one is smallpox, a human epidemic in Thailand since 1917-1946. leading to vaccination all over the country And eliminated in 1980, the World Health Organization announced that smallpox has been eliminated. leading to the abolition of the abscess The severity of smallpox monkeys was less. The death rate for smallpox in those days was as high as 30%, but monkeypox in countries with good health care systems had a mortality rate of 3-6%. Countries with poor health systems were 6-10%, but the proportion was quite high.
“Monkey pox heals on its own in 2-4 weeks without complications. Complications of the disease are encephalitis, pneumonia, and sepsis. or a duplicate bacterial infection on the wound That’s why the mortality rate is high.” Dr Suprakit said
Dr Suprakit said that Thailand has never seen monkey pox. As for the risk in Thailand that monkeypox is found Enabling a country to travel freely has risks in every country. not only Thai And the incubation period of the disease is up to 21 days after infection, may not show symptoms and when entering any country. it is possible to meet One concern that the disease may create a public health burden is If an outbreak Due to the incubation period of up to 21 days, the need to quarantine for a long time. But governments and agencies in every country, including our home, have prevention and investigation of the disease. especially in countries that are at risk If we know as soon There are good control measures, social distancing, washing hands, wearing masks, screening for high-risk groups. will be able to control