MONKEYPOX: CLINICAL CHARACTERISTICS, DIFFERENTIAL DIAGNOSIS AND IMPLICATIONS FOR DENTAL PRACTICE: AN INTEGRATIVE REVIEW (Atena Editora)

Abstract

Introduction: Monkeypox is an endemic viral zoonosis in several countries in central and western Africa. With an average incubation period of between 6 and 13 days, it is characterized by a period that can vary from 0 to 5 days of fever, headache, lymphadenopathy, asthenia and myalgia, followed by a rash about one to three days after onset. of the disease. fever. Rashes tend to be more localized to the face and limbs and may also appear on the mucous membranes of the oral cavity, genitals, conjunctiva and cornea. The illness is usually self-limiting and tends to resolve within two to four weeks. Objective: To analyze and elucidate important aspects of Monkeypox in the current world scenario, with emphasis on clinical characteristics, etiology, prevention, clinical picture, differential diagnosis, as well as its implications for dental care. Method: Fundamental concepts were used as a basis for formulating the necessary methods and procedures. The steps covered corresponded to: identification of the theme and elaboration of the research question; definition of inclusion and exclusion criteria; determine the information that must be obtained from the selected studies; the qualification of the study involved; evaluation and interpretation of results and exposure to review. The PICO strategy, a model derived from the PICO, was used. Thus, the first element (P = population) was the determination of patients with Monkeypox, the second (I = phenomenon of interest) the differential diagnosis and the third (Co = context) epidemiology and implications for dental care. The research question stated “What are the clinical characteristics of Monkeypox, differential diagnosis and implications for dental care? Searches were carried out in the main databases Scientific Electronic Library Online (SciELO), in the Virtual Health Library (BVS), Pubmed, Web of Science, Scopus and Google Scholar, initially 19 articles were selected, of which 10 corresponded to the relevance of the research. Because it is a current epidemic, installed for several months, recent research is still rare in the world literature. Due to the increase in the number of cases, preventive measures must be implemented worldwide, as well as new studies on specific therapies and vaccines must be carried out in the coming months. Results: The obtained results indicate that the failures in the eradication campaign stimulated the creation of projects whose objective was to apply the same procedure to other infectious agents. Conclusion: Oral lesions appear in most cases. Thus, a careful anamnesis becomes indispensable at each dental appointment, as it is necessary to check whether the patient has any of the symptoms, whether there has been the appearance of skin lesions and other symptoms.