Over half of people infected with mpox in 2022 had long-lasting symptoms

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Photo by National Institute of Allergy and Infectious Diseases on Unsplash. Story by Rachel McDonald, Australian Science Media Centre
Photo by National Institute of Allergy and Infectious Diseases on Unsplash. Story by Rachel McDonald, Australian Science Media Centre

58% of patients who were diagnosed with mpox during the major outbreak in 2022 experienced at least one symptom that lingered for a year or more, according to US research. To investigate long-term mpox symptoms, the team looked at data on just over 350 people considered high-risk for mpox from sexual health clinics in US cities, including 154 who had mpox in 2022 and 201 who didn't. Following up on their physical and mental health for 11-18 months, the researchers say the most common lingering mpox symptom was scarring and other skin discolouration, which was mostly restricted to one or two areas of the body. Physical health problems were reported by 13% of post-mpox participants, with 2% reporting that symptoms had affected their daily lives. More than 40% reported increased symptoms of depression and nearly half reported persistent social, sexual or work-related issues as a result of their symptoms, the researchers add.

News release

From: American College of Physicians

58% of patients affected by 2022 mpox outbreak report lasting physical symptoms

A cohort study of over 300 adults either diagnosed with mpox between May 2022 to January 2023 (post-MPX) and or who were at risk but never infected (no-MPX) found that more than half of those diagnosed with mpox during the 2022 outbreak still had lingering physical effects 11 to 18 months later. Most reported appearance-related changes, and some continued to experience anorectal or urinary problems. The study is published in Annals of Internal Medicine.

Researchers from the Centers for Disease Control and Prevention, Columbia University Division of Infectious Diseases, and University of Texas Health Science Center Houston sought to understand the long-term psychosocial and behavioral impact between at-risk persons who had or did not have mpox during the 2022 mpox outbreak. The researchers recruited post-MPX and no-MPX participants from health centers in New York City, NY and Houston, TX to complete psychosocial and behavioral self-assessments followed by a clinical evaluation among the post-MPX group. The study found that 58% of those infected had at least one persistent symptom. Among post-MPX participants with appearance-related sequelae, the extent of sequelae was relatively low, with most having fewer than 10 scars or sites of discoloration and 2 or fewer body sites involved. Thirteen percent of post-MPX participants experienced ongoing physical function changes, and 2% had their activities of daily living affected. The findings provide context into the enduring physical and psychosocial effects that may occur because of mpox.

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Annals of Internal Medicine
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Organisation/s: Centers for Disease Control and Prevention, USA
Funder: Centers for Disease Control and Prevention.
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