Autor: |
Rocha SQ; Centro de Referência e Treinamento DST/AIDS, São Paulo, Brazil., Fonsi M; Centro de Referência e Treinamento DST/AIDS, São Paulo, Brazil., Tancredi MV; Centro de Referência e Treinamento DST/AIDS, São Paulo, Brazil., Alencar HDR; Centro de Referência e Treinamento DST/AIDS, São Paulo, Brazil., Abbud A; Instituto Adolfo Lutz, São Paulo, Brazil., da Silva MH; Centro de Referência e Treinamento DST/AIDS, São Paulo, Brazil. |
Jazyk: |
angličtina |
Zdroj: |
AIDS research and human retroviruses [AIDS Res Hum Retroviruses] 2023 Nov; Vol. 39 (11), pp. 610-615. Date of Electronic Publication: 2023 Jun 07. |
DOI: |
10.1089/AID.2022.0189 |
Abstrakt: |
Mpox is caused by a zoonotic orthopoxvirus capable of infecting several animal species, including humans. The analysis of cases in the current outbreak showed that, differently from what happens in the classical disease, mpox has mostly affected men who have sex with men (MSM) and bisexuals, including a high proportion of people living with HIV/AIDS. The role of the immune system in fighting mpox has been discussed in literature and experts believe that immunity conferred by natural infection may be lifelong, advocating against the possibility of reinfection by monkeypox virus. This report presents a MSM couple living with HIV with cycles of mpox lesions after two different risk exposures. The clinical course of both cases, as well as the temporal and anatomical relationship between the second cycle of monkeypox virus lesions and the second exposure, suggests the occurrence of reinfection. The genomic surveillance of monkeypox virus, a better understanding of its interaction with the human host, and knowledge of the postinfection and postvaccine protection correlation are more relevant at this moment, when we observe an intersection of the mpox multicountry outbreak with the HIV/AIDS epidemic, considering the immunosenescence and other immune system issues caused by HIV. |
Databáze: |
MEDLINE |
Externí odkaz: |
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