Academic Journal

Mpox (Monkeypox) in Pregnancy: Viral Clade Differences and Their Associations with Varying Obstetrical and Fetal Outcomes

التفاصيل البيبلوغرافية
العنوان: Mpox (Monkeypox) in Pregnancy: Viral Clade Differences and Their Associations with Varying Obstetrical and Fetal Outcomes
المؤلفون: David A. Schwartz, Phillip R. Pittman
المصدر: Viruses; Volume 15; Issue 8; Pages: 1649
بيانات النشر: Multidisciplinary Digital Publishing Institute
سنة النشر: 2023
المجموعة: MDPI Open Access Publishing
مصطلحات موضوعية: monkeypox, mpox, poxvirus, pregnancy, stillbirth, orthopoxvirus, smallpox, maternal health, clade, monkeypox virus/genetics, pregnancy complications, infectious/epidemiology, maternal-fetal infection, epidemiology, Africa
جغرافية الموضوع: agris
الوصف: In African countries where mpox (monkeypox) is endemic, infection is caused by two genetically related clades—Clade I (formerly Congo Basin), and Clade IIa (formerly West Africa), both of which are potentially life-threatening infections. Prior to the 2022–2023 global outbreak, mpox infections among pregnant women caused by Clade I were reported to have a 75% perinatal case fatality rate in the Democratic Republic of Congo, including the only documented case of placental infection and stillbirth from the Congenital Mpox Syndrome, and the Clade IIa mpox infection was associated with stillbirths in Nigeria. The 2022–2023 global mpox outbreak, caused by a genetically distinct strain, Clade IIb, has focused attention on the effects of mpox on pregnant women and fetal outcomes. There have been at least 58 cases of mpox infection occurring in pregnant women during the 2022–2023 outbreak. No confirmed cases of adverse perinatal outcome, including stillbirth, have been reported. The absence of perinatal morbidity and mortality from Clade IIb corresponds to the overall case fatality rate among non-pregnant women of <0.1%, as this clade has been demonstrated to produce a less-severe disease than the mpox Clade I or IIa variants. Thus, there are apparently important differences between mpox clades affecting pregnant women and perinatal outcomes.
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
Relation: Animal Viruses; https://dx.doi.org/10.3390/v15081649
DOI: 10.3390/v15081649
الاتاحة: https://doi.org/10.3390/v15081649
Rights: https://creativecommons.org/licenses/by/4.0/
رقم الانضمام: edsbas.623D3F47
قاعدة البيانات: BASE