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Year : 2022  |  Volume : 11  |  Issue : 3  |  Page : 83

Chest pain as presentation of monkeypox: A note

1 Private Academic Consultant, Bangkok, Thailand
2 Department of Biological Science, Joseph, Ayobaalola University, Ikeji-Arakeji, Nigeria; Department of Community Medicine, Dr. DY Patil Medical College, Pune, Maharashtra, India; Department of Medical Science, Faculty of Medicine, University of Nis, Nis, Serbia

Date of Submission02-Jun-2022
Date of Decision30-Jul-2022
Date of Acceptance08-Sep-2022
Date of Web Publication21-Nov-2022

Correspondence Address:
PhD Rujittika Mungmunpuntipantip
Private Academic Consultant, 111 Bangkok 122 Bangkok 103300
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcpc.jcpc_19_22

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How to cite this article:
Mungmunpuntipantip R, Wiwanitkit V. Chest pain as presentation of monkeypox: A note. J Clin Prev Cardiol 2022;11:83

How to cite this URL:
Mungmunpuntipantip R, Wiwanitkit V. Chest pain as presentation of monkeypox: A note. J Clin Prev Cardiol [serial online] 2022 [cited 2023 Jun 9];11:83. Available from: https://www.jcpconline.org/text.asp?2022/11/3/83/361693

Dear Editor,

Novel zoonotic pox diseases have emerged as a serious problem in infectious medicine, in addition to the well-known pox infections.[1] Monkeypox has spread over Europe, posing a serious public health threat.[2] It is an uncommon pox infection that has resurfaced due to zoonosis.[1] Human-to-human transfer is currently being investigated. The medical community is concerned as the numbers of reported cases in various countries rise, and careful preparedness is required.

According to a previous report, patients with monkeypox may present with a variety of pains as their first symptom. Chest discomfort, belly pain, back pain, and muscle pain are the four most frequent pain problems.[3] Many of these monkeypox cases did not have any fever and not everyone had a rash.[3]

This report highlights the fact that monkeypox might be diagnosed in a case with atypical presentation, afebrile appearance, and the absence of a characteristic skin lesion.[1] Chest pain could be the first sign.

Since a new monkeypox epidemic is likely, it is vital in today's clinical practice to be prepared for suspected monkeypox and to provide the best available therapy to all patients with atypical presentations. It must be recognized that a monkeypox case may manifest with merely a chest pain problem and no other symptoms.

In short, disaster preparedness is essential in modern medicine and hence it is necessary to be aware of and remain vigilant about atypical presentations of newly emerging infections. There could not be a better example of this than the emerging monkeypox disease.

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.

  References Top

Yuan L, Chen C, Li Z, Zhu G, Bao J, Zhao Z, et al. Antiplatelet and anticoagulant for prevention of reocclusion in patients with atrial fibrillation undergoing endovascular treatment for low extremity ischemia. J Thorac Dis 2018;10:1857-63.  Back to cited text no. 1
Kannan S, Shaik Syed Ali P, Sheeza A. Monkeypox: Epidemiology, mode of transmission, clinical features, genetic clades and molecular properties. Eur Rev Med Pharmacol Sci 2022;26:5983-90.  Back to cited text no. 2
Joob B, Wiwanitkit V. Monkeypox: Revisit of the old threat and emerging imported cases. Med J DY Patil Vidyapeeth 2022;15:457-9.  Back to cited text no. 3
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