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Table of Contents
Year : 2022  |  Volume : 12  |  Issue : 1  |  Page : 15

Monkeypox, larynx and voice

1 Private Academic Consultant, Bangkok, Thailand
2 Department of Biological Science, Joseph Ayobabalola University, Ikeji-Arakeji, Nigeria; Department of Community Medicine, Dr. DY Patil Medical College, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India; Parasitic Disease Research Center, Suranaree University of Technology, Nakhon Ratchasima, Thailand

Date of Submission24-Sep-2022
Date of Acceptance09-Oct-2022
Date of Web Publication8-Nov-2022

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

DOI: 10.4103/jlv.jlv_6_22

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How to cite this article:
Mungunpuntipantip R, Wiwanitkit V. Monkeypox, larynx and voice. J Laryngol Voice 2022;12:15

How to cite this URL:
Mungunpuntipantip R, Wiwanitkit V. Monkeypox, larynx and voice. J Laryngol Voice [serial online] 2022 [cited 2023 May 30];12:15. Available from: https://www.laryngologyandvoice.org/text.asp?2022/12/1/15/360575

Dear Editor,

The current interesting infectious disease challenge is monkeypox. Previously, the disease was confined to and endemic in Western Africa, such as Congo and Nigeria. Because the precise path of monkeypox transmission is yet unknown, it is suggested that human-to-human transmission may exist.[1],[2],[3] Although a contaminated object is not always present, the infectious pathogen may still be present in a wound. In most circumstances, direct wound contact might occur and can lead to further problems. Furthermore, some infected wounds may be located in a concealed area, such as the groin or the genitalia, and the patient would usually dispose of contaminated materials from those specific locations in a discrete manner. Monkeypox is characterized by a feverish disease with skin lesions. Atypical clinical issues, such as diarrhea and dysphagia, are possible.[2],[3] We would like to draw attention to the potential pathology of the larynx in monkeypox.[4] As previously stated, it is possible that the patient does not have a fever or rash but presents with an unusual clinical condition.[1] In the animal model, it is confirmed that the pathological change occurs at the larynx in infected animals. Severe laryngitis is possible.[4],[5] The trachea of the infected primate animal also displayed multifocal or consolidating necrotic, dark-red mucosal lesions, which were frequently more severe close to the carina where the virus instillation took place, according to the most recent pathological investigation.[4] A similar problem can be expected in the infected human case. If the larynx is invoiced, the voice problem might occur. Laryngitis may be a clinical condition in monkeys, and the patient's voice may change. It is critical to notice voice dysfunction as a potential initial sign of monkeypox.

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   References Top

Wiwanitkit S, Wiwanitkit V. Atypical zoonotic pox: Acute merging illness that can be easily forgotten. J Acute Dis 2018;7:88-9.  Back to cited text no. 1
  [Full text]  
Mungmunpuntipantip R, Wiwanitkit V. Diarrhea and monkeypox: A consideration. Rev Esp Enferm Dig 2022. doi: 10.17235/reed.2022.8957/2022.  Back to cited text no. 2
Mungmunpuntipantip R, Wiwanitkit V. Dysphagia and monkeypox: A consideration. Dysphagia 2022. doi: 10.1007/s00455-022-10481-x.  Back to cited text no. 3
Goff AJ, Chapman J, Foster C, Wlazlowski C, Shamblin J, Lin K, et al. A novel respiratory model of infection with monkeypox virus in cynomolgus macaques. J Virol 2011;85:4898-909.  Back to cited text no. 4
Zaucha GM, Jahrling PB, Geisbert TW, Swearengen JR, Hensley L. The pathology of experimental aerosolized monkeypox virus infection in cynomolgus monkeys (Macaca fascicularis). Lab Invest 2001;81:1581-600.  Back to cited text no. 5


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