Monkeypox: A Comprehensive Review of Virology, Epidemiology, Transmission, Diagnosis, Prevention, Treatment, and Artificial Intelligence Applications

Monkeypox (Mpox), an uncommon zoonotic Orthopoxvirus, is commonly manifested by blisters on the skin and has a mortality rate of approximately 0-10%. Approximately two decades after the cessation of global smallpox vaccination, the number of confirmed cases of Mpox has been growing, making it the m...

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Main Authors: Erfan Rahmani, Ziba Bayat, Mehrdad Farrokhi, Shiva Karimian, Reza Zahedpasha, Hamed Sabzehie, Sepehr Ramezani Poor, Parisa Jafari Khouzani, Solmaz Aminpour, Mohammad Karami, Omid Afsharjahanshahi, Maryam Sharifi, Behnaz Dalvandi, Reza Dalvandi, Amirhossein Esfahani, Maryam Alaei, Mahtab Mirbolouk, Fateme Moradi, Amitis Nozari, Seyed Mohammad Shahab Mirabedini, Mahrokh Janmohamadi, Sara Moghimi, Farzaneh Nikfarjam, Faezeh Jalayer Sarnaghy, Amirhossein Mirbolook, Mohammad Pirouzan, Mozhdeh Mohammadi Virsoudi, Atousa Moghadam Fard, Mehdi Nikandishnobar, Hossein Boustani Hezarani, Mohammadreza Fadavighafari, Masoud Farrokhi
Format: Article
Language:English
Published: Shahid Beheshti University of Medical Sciences 2024-09-01
Series:Archives of Academic Emergency Medicine
Subjects:
Online Access:https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2491
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author Erfan Rahmani
Ziba Bayat
Mehrdad Farrokhi
Shiva Karimian
Reza Zahedpasha
Hamed Sabzehie
Sepehr Ramezani Poor
Parisa Jafari Khouzani
Solmaz Aminpour
Mohammad Karami
Omid Afsharjahanshahi
Maryam Sharifi
Behnaz Dalvandi
Reza Dalvandi
Amirhossein Esfahani
Maryam Alaei
Mahtab Mirbolouk
Fateme Moradi
Amitis Nozari
Seyed Mohammad Shahab Mirabedini
Mahrokh Janmohamadi
Sara Moghimi
Farzaneh Nikfarjam
Faezeh Jalayer Sarnaghy
Amirhossein Mirbolook
Mohammad Pirouzan
Mozhdeh Mohammadi Virsoudi
Atousa Moghadam Fard
Mehdi Nikandishnobar
Hossein Boustani Hezarani
Mohammadreza Fadavighafari
Masoud Farrokhi
author_facet Erfan Rahmani
Ziba Bayat
Mehrdad Farrokhi
Shiva Karimian
Reza Zahedpasha
Hamed Sabzehie
Sepehr Ramezani Poor
Parisa Jafari Khouzani
Solmaz Aminpour
Mohammad Karami
Omid Afsharjahanshahi
Maryam Sharifi
Behnaz Dalvandi
Reza Dalvandi
Amirhossein Esfahani
Maryam Alaei
Mahtab Mirbolouk
Fateme Moradi
Amitis Nozari
Seyed Mohammad Shahab Mirabedini
Mahrokh Janmohamadi
Sara Moghimi
Farzaneh Nikfarjam
Faezeh Jalayer Sarnaghy
Amirhossein Mirbolook
Mohammad Pirouzan
Mozhdeh Mohammadi Virsoudi
Atousa Moghadam Fard
Mehdi Nikandishnobar
Hossein Boustani Hezarani
Mohammadreza Fadavighafari
Masoud Farrokhi
author_sort Erfan Rahmani
collection DOAJ
description Monkeypox (Mpox), an uncommon zoonotic Orthopoxvirus, is commonly manifested by blisters on the skin and has a mortality rate of approximately 0-10%. Approximately two decades after the cessation of global smallpox vaccination, the number of confirmed cases of Mpox has been growing, making it the most common Orthopoxvirus infection. Therefore, in this narrative review, we aimed to shed light on recent advancements in the pathophysiology, transmission routes, epidemiology, manifestations, diagnosis, prevention, and treatment of Mpox, as well as the application of artificial intelligence (AI) methods for predicting this disease. The clinical manifestations of Mpox, including the onset of symptoms and dermatologic characteristics, are similar to those of the infamous smallpox, but Mpox is clinically milder. Notably, a key difference between smallpox and Mpox is the high prevalence of lymphadenopathy. Human-to-human, animal-to-human, and animal-to-animal transmission are the three main pathways of Mpox spread that must be considered for effective prevention, particularly during outbreaks. PCR testing, as the preferred method for diagnosing Mpox infection, can enhance early detection of new cases and thereby improve infection control measures. JYNNEOS and ACAM2000 are among the vaccines most commonly recommended for the prevention of Mpox. Brincidofovir, Cidofovir, and Tecovirimat are the primary treatments for Mpox cases. Similar to other viral infections, the best approach to managing Mpox is prevention. This can, in part, be achieved through measures such as reducing contact with individuals displaying symptoms, maintaining personal safety, and adhering to practices commonly used to prevent sexually transmitted infections.
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spelling doaj-art-fe7e64e3261b48a8896da1635c7c519d2025-08-20T01:55:19ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042024-09-0112110.22037/aaem.v12i1.2491Monkeypox: A Comprehensive Review of Virology, Epidemiology, Transmission, Diagnosis, Prevention, Treatment, and Artificial Intelligence ApplicationsErfan RahmaniZiba BayatMehrdad FarrokhiShiva KarimianReza ZahedpashaHamed SabzehieSepehr Ramezani PoorParisa Jafari KhouzaniSolmaz AminpourMohammad KaramiOmid AfsharjahanshahiMaryam SharifiBehnaz DalvandiReza DalvandiAmirhossein EsfahaniMaryam AlaeiMahtab MirboloukFateme MoradiAmitis NozariSeyed Mohammad Shahab MirabediniMahrokh JanmohamadiSara MoghimiFarzaneh NikfarjamFaezeh Jalayer SarnaghyAmirhossein MirbolookMohammad PirouzanMozhdeh Mohammadi VirsoudiAtousa Moghadam FardMehdi NikandishnobarHossein Boustani HezaraniMohammadreza FadavighafariMasoud Farrokhi Monkeypox (Mpox), an uncommon zoonotic Orthopoxvirus, is commonly manifested by blisters on the skin and has a mortality rate of approximately 0-10%. Approximately two decades after the cessation of global smallpox vaccination, the number of confirmed cases of Mpox has been growing, making it the most common Orthopoxvirus infection. Therefore, in this narrative review, we aimed to shed light on recent advancements in the pathophysiology, transmission routes, epidemiology, manifestations, diagnosis, prevention, and treatment of Mpox, as well as the application of artificial intelligence (AI) methods for predicting this disease. The clinical manifestations of Mpox, including the onset of symptoms and dermatologic characteristics, are similar to those of the infamous smallpox, but Mpox is clinically milder. Notably, a key difference between smallpox and Mpox is the high prevalence of lymphadenopathy. Human-to-human, animal-to-human, and animal-to-animal transmission are the three main pathways of Mpox spread that must be considered for effective prevention, particularly during outbreaks. PCR testing, as the preferred method for diagnosing Mpox infection, can enhance early detection of new cases and thereby improve infection control measures. JYNNEOS and ACAM2000 are among the vaccines most commonly recommended for the prevention of Mpox. Brincidofovir, Cidofovir, and Tecovirimat are the primary treatments for Mpox cases. Similar to other viral infections, the best approach to managing Mpox is prevention. This can, in part, be achieved through measures such as reducing contact with individuals displaying symptoms, maintaining personal safety, and adhering to practices commonly used to prevent sexually transmitted infections. https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2491Artificial IntelligenceMpoxMonkeypox virusOutbreakPreventionTransmission
spellingShingle Erfan Rahmani
Ziba Bayat
Mehrdad Farrokhi
Shiva Karimian
Reza Zahedpasha
Hamed Sabzehie
Sepehr Ramezani Poor
Parisa Jafari Khouzani
Solmaz Aminpour
Mohammad Karami
Omid Afsharjahanshahi
Maryam Sharifi
Behnaz Dalvandi
Reza Dalvandi
Amirhossein Esfahani
Maryam Alaei
Mahtab Mirbolouk
Fateme Moradi
Amitis Nozari
Seyed Mohammad Shahab Mirabedini
Mahrokh Janmohamadi
Sara Moghimi
Farzaneh Nikfarjam
Faezeh Jalayer Sarnaghy
Amirhossein Mirbolook
Mohammad Pirouzan
Mozhdeh Mohammadi Virsoudi
Atousa Moghadam Fard
Mehdi Nikandishnobar
Hossein Boustani Hezarani
Mohammadreza Fadavighafari
Masoud Farrokhi
Monkeypox: A Comprehensive Review of Virology, Epidemiology, Transmission, Diagnosis, Prevention, Treatment, and Artificial Intelligence Applications
Archives of Academic Emergency Medicine
Artificial Intelligence
Mpox
Monkeypox virus
Outbreak
Prevention
Transmission
title Monkeypox: A Comprehensive Review of Virology, Epidemiology, Transmission, Diagnosis, Prevention, Treatment, and Artificial Intelligence Applications
title_full Monkeypox: A Comprehensive Review of Virology, Epidemiology, Transmission, Diagnosis, Prevention, Treatment, and Artificial Intelligence Applications
title_fullStr Monkeypox: A Comprehensive Review of Virology, Epidemiology, Transmission, Diagnosis, Prevention, Treatment, and Artificial Intelligence Applications
title_full_unstemmed Monkeypox: A Comprehensive Review of Virology, Epidemiology, Transmission, Diagnosis, Prevention, Treatment, and Artificial Intelligence Applications
title_short Monkeypox: A Comprehensive Review of Virology, Epidemiology, Transmission, Diagnosis, Prevention, Treatment, and Artificial Intelligence Applications
title_sort monkeypox a comprehensive review of virology epidemiology transmission diagnosis prevention treatment and artificial intelligence applications
topic Artificial Intelligence
Mpox
Monkeypox virus
Outbreak
Prevention
Transmission
url https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2491
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