Thread by @guerreroespejo

A 29-YO👨‍⚕️#physician, a needlestick injury with a needle used to collect a fluid sample from a man who had a pustular rash (later confirmed to be #monkeypox), the gloves appeared intact to him
Four days later, a vesicle appeared on the pricked finger (A)
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#MedTwitter #Doctor

#Monkeypox virus was identified in its fluid by PCR

MONKEYPOX AFTER OCCUPATIONAL NEDDLESTICK INJURY FROM PUSTULE
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doi.org/10.3201/eid281…
#IDtwitter #MedStudentTwitter

Progress of #monkeypox index lesion:
A) on the 4th day of illness
B) on the 6th day of illness
C) on the 18th day of illness
D) Necrotic scab underneath the devitalized tissue of the index lesion on the 24th day of illness
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#resident #medicine

A tender, indurated, erythematous and well-delimited linear streak from the left finger to the armpit appeared on the seventh day (A)

Worsening of the inflammatory signs of the left index finger and of the arm lymphangitis (B)
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#dermatology #dermatologia

In this case, a solitary vesicle appeared four days later on the pricked finger, followed a few days later by systemic symptoms and the characteristic rash.
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#MedicalStudents #MedEd

It clearly exemplifies the risks of using sharp instruments for monkeypox testing, which is not recommended.
Samples should be collected by vigorously swabbing the surface of lesions or by removing crusts with a forceps or other blunt-tipped sterile instruments
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#microbiology

Penetrating injury is considered a high-risk exposure and an indication for postexposure #prophylaxis
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#monkeypox

More information from this case and article:
wwwnc.cdc.gov/eid/article/28…
Caldas JP, Valdoleiros SR, Rebelo S, Tavares M. Monkeypox after occupational needlestick injury from pustule. Emerg Infect Dis. 2022 Dec . doi.org/10.3201/eid281…