A Comprehensive Review on Monkeypox Viral Disease with Potential Diagnostics and Therapeutic Options

The purpose of this review is to give an up-to-date, thorough, and timely overview of monkeypox (Mpox), a severe infectious viral disease. Furthermore, this review provides an up-to-date treatment option for Mpox. The monkeypox virus (MPXV) has remained the most virulent poxvirus for humans since the elimination of smallpox approximately 41 years ago, with distribution mainly in central and west Africa. Mpox in humans is a zoonotically transferred disease that results in symptoms like those of smallpox. It had spread throughout west and central Africa when it was first diagnosed in the Republic of Congo in 1970. Mpox has become a major threat to global health security, necessitating a quick response by virologists, veterinarians, public health professionals, doctors, and researchers to create high-efficiency diagnostic tests, vaccinations, antivirals, and other infection control techniques. The emergence of epidemics outside of Africa emphasizes the disease’s global significance. A better understanding of Mpox’s dynamic epidemiology may be attained by increased surveillance and identification of cases.

[1]  Hao Tan,et al.  An Overview of Antivirals against Monkeypox Virus and Other Orthopoxviruses. , 2023, Journal of medicinal chemistry.

[2]  K. Pabbaraju,et al.  Retrospective testing for the presence of monkeypox virus in a high-risk population from February-June 2022 in Alberta, Canada. , 2023, Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada.

[3]  S. Rashid,et al.  Clinical Manifestation, Transmission, Pathogenesis, and Diagnosis of Monkeypox Virus: A Comprehensive Review , 2023, Life.

[4]  C. Grose,et al.  Reassessment of Evidence about Coinfection of Chickenpox and Monkeypox (Mpox) in African Children , 2022, Viruses.

[5]  J. Caldera,et al.  Case Report: Symptomatic Herpes Simplex Virus Type 2 and Monkeypox Coinfection in an Adult Male. , 2022, The American journal of tropical medicine and hygiene.

[6]  R. Christie,et al.  Transmission dynamics of monkeypox in the United Kingdom: contact tracing study , 2022, BMJ.

[7]  O. Mitjà,et al.  Monkeypox , 2022, The Lancet.

[8]  H. Ly,et al.  The potential risks posed by inter- and intraspecies transmissions of monkeypox virus , 2022, Virulence.

[9]  A. Mehmood,et al.  Human monkeypox virus: An updated review , 2022, Medicine.

[10]  J. Chou,et al.  The resurgence of a neglected orthopoxvirus: Immunologic and clinical aspects of monkeypox virus infections over the past six decades , 2022, Clinical immunology.

[11]  N. Lorusso,et al.  Monkeypox virus infections in children in Spain during the first months of the 2022 outbreak , 2022, The Lancet. Child & adolescent health.

[12]  E. Puca,et al.  Diagnosis of monkeypox virus – An overview , 2022, Travel medicine and infectious disease.

[13]  V. Calvez,et al.  Viral loads in clinical samples of men with monkeypox virus infection: a French case series , 2022, The Lancet. Infectious diseases.

[14]  L. Jennings,et al.  Validation Study of a Direct Real-Time PCR Protocol for Detection of Monkeypox Virus , 2022, The Journal of Molecular Diagnostics.

[15]  I. Spicknall,et al.  Modeling the Impact of Sexual Networks in the Transmission of Monkeypox virus Among Gay, Bisexual, and Other Men Who Have Sex with Men — United States, 2022 , 2022, MMWR. Morbidity and mortality weekly report.

[16]  Rezan Ashayeri Ahmadabad,et al.  Monkeypox virus from neurological complications to neuroinvasive properties: current status and future perspectives , 2022, Journal of Neurology.

[17]  S. Shoib,et al.  Is there a need to be worried about the new monkeypox virus outbreak? A brief review on the monkeypox outbreak , 2022, Annals of medicine and surgery.

[18]  L. Nolen,et al.  High-Contact Object and Surface Contamination in a Household of Persons with Monkeypox Virus Infection — Utah, June 2022 , 2022, MMWR. Morbidity and mortality weekly report.

[19]  S. Chhibber,et al.  Insights into the Monkeypox virus: making of another pandemic within the pandemic? , 2022, Environmental microbiology.

[20]  H. Mohammed,et al.  Epidemiology of Early Monkeypox Virus Transmission in Sexual Networks of Gay and Bisexual Men, England, 2022 , 2022, Emerging infectious diseases.

[21]  J. Doty,et al.  Environmental Persistence of Monkeypox Virus on Surfaces in Household of Person with Travel-Associated Infection, Dallas, Texas, USA, 2021 , 2022, Emerging infectious diseases.

[22]  P. Dashraath,et al.  The monkeypox outbreak: risks to children and pregnant women , 2022, The Lancet Child & Adolescent Health.

[23]  R. Sah,et al.  Assessment of Knowledge of Monkeypox Viral Infection among the General Population in Saudi Arabia , 2022, Pathogens.

[24]  S. Burrel,et al.  Evidence of human-to-dog transmission of monkeypox virus , 2022, The Lancet.

[25]  M. Aepfelbacher,et al.  Clinical characteristics and comparison of longitudinal qPCR results from different specimen types in a cohort of ambulatory and hospitalized patients infected with monkeypox virus. , 2022, Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology.

[26]  F. Vitale,et al.  First case of monkeypox virus, SARS-CoV-2 and HIV co-infection , 2022, Journal of Infection.

[27]  J. Koelewijn,et al.  The detection of monkeypox virus DNA in wastewater samples in the Netherlands , 2022, The Science of the total environment.

[28]  P. Catalán,et al.  The relevance of multiple clinical specimens in the diagnosis of monkeypox virus, Spain, June 2022 , 2022, Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin.

[29]  M. Zandi,et al.  Monkeypox virus neurological manifestations in comparison to other orthopoxviruses , 2022, Travel medicine and infectious disease.

[30]  J. Shamblin,et al.  Effect of Monkeypox Virus Preparation on the Lethality of the Intravenous Cynomolgus Macaque Model , 2022, Viruses.

[31]  A. Baig,et al.  Narrative on Hydrogen Therapy and its Clinical Applications: Safety and Efficacy. , 2022, Current pharmaceutical design.

[32]  A. Rodríguez-Morales,et al.  Ophthalmic manifestations of monkeypox virus , 2022, Eye.

[33]  Q. Wei Is China ready for monkeypox? , 2022, Animal models and experimental medicine.

[34]  M. Okeke,et al.  Monkeypox virus: a neglected zoonotic pathogen spreads globally , 2022, Nature Reviews Microbiology.

[35]  D. Forni,et al.  Geographic Structuring and Divergence Time Frame of Monkeypox Virus in the Endemic Region , 2022, The Journal of infectious diseases.

[36]  V. Shapovalova Monkeypox Virus – New Challenges of Modernity: Experimental Organizational and Legal, Clinical and Pharmacological Studies , 2022, SSP Modern Pharmacy and Medicine.

[37]  Fengya Zhu,et al.  Monkeypox virus under COVID-19: Caution for sexual transmission – Correspondence , 2022, International Journal of Surgery.

[38]  Rajesh Ittamalla,et al.  What concerns the general public the most about monkeypox virus? – A text analytics study based on Natural Language Processing (NLP) , 2022, Travel Medicine and Infectious Disease.

[39]  Olivier Uwishema,et al.  The burden of monkeypox virus amidst the Covid-19 pandemic in Africa: A double battle for Africa , 2022, Annals of Medicine and Surgery.

[40]  L. Simonsen,et al.  Vaccination for monkeypox prevention in persons with high-risk sexual behaviours to control on-going outbreak of monkeypox virus clade 3. , 2022, International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases.

[41]  W. Assavalapsakul,et al.  The first case of monkeypox virus infection detected in Taiwan: awareness and preparation , 2022, International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases.

[42]  J. Blanco,et al.  Frequent detection of monkeypox virus DNA in saliva, semen, and other clinical samples from 12 patients, Barcelona, Spain, May to June 2022 , 2022, Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin.

[43]  Y. Xiang,et al.  Monkeypox virus emerges from the shadow of its more infamous cousin: family biology matters , 2022, Emerging microbes & infections.

[44]  M. Bhattacharya,et al.  Appearance and re-appearance of zoonotic disease during the pandemic period: long-term monitoring and analysis of zoonosis is crucial to confirm the animal origin of SARS-CoV-2 and monkeypox virus , 2022, The veterinary quarterly.

[45]  Saniya M. Ansari,et al.  Re‐emerging human monkeypox: A major public‐health debacle , 2022, Journal of medical virology.

[46]  M. Bhattacharya,et al.  Recently spreading human monkeypox virus infection and its transmission during COVID-19 pandemic period: A travelers' prospective , 2022, Travel Medicine and Infectious Disease.

[47]  J. Wallinga,et al.  Estimated incubation period for monkeypox cases confirmed in the Netherlands, May 2022 , 2022, Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin.

[48]  G. Spiteri,et al.  Ongoing monkeypox virus outbreak, Portugal, 29 April to 23 May 2022 , 2022, Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin.

[49]  Vikram Thakur,et al.  Monkeypox virus (MPX) in humans a concern: Trespassing the global boundaries – Correspondence , 2022, International journal of surgery.

[50]  M. Kraemer,et al.  Investigating the monkeypox outbreak , 2022, BMJ.

[51]  Jennifer L. Small,et al.  Clinical features and management of human monkeypox: a retrospective observational study in the UK , 2022, The Lancet. Infectious diseases.

[52]  Caroline A. Schrodt,et al.  Monkeypox in a Traveler Returning from Nigeria — Dallas, Texas, July 2021 , 2022, MMWR. Morbidity and mortality weekly report.

[53]  Joginder Singh,et al.  Effective removal of Pb(II) and Ni(II) ions by Bacillus cereus and Bacillus pumilus: An experimental and mechanistic approach. , 2022, Environmental research.

[54]  G. Wortmann,et al.  Imported Monkeypox from International Traveler, Maryland, USA, 2021 , 2022, Emerging infectious diseases.

[55]  F. Lienert,et al.  The changing epidemiology of human monkeypox—A potential threat? A systematic review , 2021, medRxiv.

[56]  O. J. Peter,et al.  Transmission dynamics of Monkeypox virus: a mathematical modelling approach , 2021, Modeling Earth Systems and Environment.

[57]  U. Moens,et al.  Monkeypox Virus in Nigeria: Infection Biology, Epidemiology, and Evolution , 2020, Viruses.

[58]  Anna M. Mandra,et al.  Exportation of Monkeypox Virus From the African Continent , 2020, The Journal of infectious diseases.

[59]  D. Groneberg,et al.  Acceptance and willingness to pay for a hypothetical vaccine against monkeypox viral infection among frontline physicians: A cross-sectional study in Indonesia , 2020, Vaccine.

[60]  J. Kuhn,et al.  Comparison of Multiplexed Immunofluorescence Imaging to Chromogenic Immunohistochemistry of Skin Biomarkers in Response to Monkeypox Virus Infection , 2020, Viruses.

[61]  J. Dunning,et al.  Human-to-Human Transmission of Monkeypox Virus, United Kingdom, October 2018 , 2020, Emerging infectious diseases.

[62]  J. Weir,et al.  Stability of the HSV-2 US-6 Gene in the del II, del III, CP77, and I8R-G1L Sites in Modified Vaccinia Virus Ankara After Serial Passage of Recombinant Vectors in Cells , 2020, Vaccines.

[63]  V. B. Rao,et al.  A systematic review of the epidemiology of human monkeypox outbreaks and implications for outbreak strategy , 2019, PLoS neglected tropical diseases.

[64]  Anna M. Mandra,et al.  Outbreak of human monkeypox in Nigeria in 2017–18: a clinical and epidemiological report , 2019, The Lancet. Infectious diseases.

[65]  H. Achdout,et al.  Diagnosis of Imported Monkeypox, Israel, 2018 , 2019, Emerging infectious diseases.

[66]  M. Koopmans,et al.  Human Monkeypox , 2019, Infectious disease clinics of North America.

[67]  Y. Nakazawa,et al.  Epidemiologic and Ecologic Investigations of Monkeypox, Likouala Department, Republic of the Congo, 2017 , 2019, Emerging infectious diseases.

[68]  Y. Nakazawa,et al.  Monkeypox re-emergence in Africa: a call to expand the concept and practice of One Health , 2019, Expert review of anti-infective therapy.

[69]  Lord Tertese Angahar An Overview of Monkey-pox Disease , 2018 .

[70]  Marc Van Ranst,et al.  Emergence of Monkeypox as the Most Important Orthopoxvirus Infection in Humans , 2018, Front. Public Health.

[71]  Y. Nakazawa,et al.  Emergence of Monkeypox — West and Central Africa, 1970–2017 , 2018, MMWR. Morbidity and mortality weekly report.

[72]  M. Reynolds,et al.  Improving the Care and Treatment of Monkeypox Patients in Low-Resource Settings: Applying Evidence from Contemporary Biomedical and Smallpox Biodefense Research , 2017, Viruses.

[73]  J. Muyembe,et al.  Maternal and Fetal Outcomes Among Pregnant Women With Human Monkeypox Infection in the Democratic Republic of Congo , 2017, The Journal of infectious diseases.

[74]  Y. Nakazawa,et al.  A Phylogeographic Investigation of African Monkeypox , 2015, Viruses.

[75]  J. Muyembe,et al.  Detection of Human Monkeypox in the Republic of the Congo Following Intensive Community Education , 2013, The American journal of tropical medicine and hygiene.

[76]  D. Verreault,et al.  Susceptibility of monkeypox virus aerosol suspensions in a rotating chamber , 2012, Journal of virological methods.

[77]  M. Reynolds,et al.  Factors affecting the likelihood of monkeypox's emergence and spread in the post-smallpox era , 2012, Current opinion in virology.

[78]  A. MacNeil,et al.  Assessing the Effectiveness of a Community Intervention for Monkeypox Prevention in the Congo Basin , 2011, PLoS neglected tropical diseases.

[79]  K. Reimann,et al.  Smallpox vaccine safety is dependent on T cells and not B cells. , 2011, The Journal of infectious diseases.

[80]  P. Formenty,et al.  Human Monkeypox Outbreak Caused by Novel Virus Belonging to Congo Basin Clade, Sudan, 2005 , 2010, Emerging infectious diseases.

[81]  M. Remichkova Poxviruses: smallpox vaccine, its complications and chemotherapy , 2010 .

[82]  K. Reimann,et al.  Smallpox vaccine–induced antibodies are necessary and sufficient for protection against monkeypox virus , 2005, Nature Medicine.

[83]  A. Baxevanis An Overview of Gene Identification: Approaches, Strategies, and Considerations , 2004, Current protocols in bioinformatics.

[84]  M. Huycke Smallpox in the post-eradication era. , 2002, The Journal of the Oklahoma State Medical Association.

[85]  E. A. Uvarova,et al.  Analysis of the Monkeypox Virus Genome , 2002, Virology.

[86]  J. Cohen Is an Old Virus Up to New Tricks? , 1997, Science.

[87]  Z. Ježek,et al.  Human monkeypox: clinical features of 282 patients. , 1987, The Journal of infectious diseases.

[88]  R. A. Okyay Another Epidemic in the Shadow of Covid 19 Pandemic: A Review of Monkeypox , 2022, Eurasian Journal of Medicine and Oncology.

[89]  R. Parvin,et al.  Monkeypox virus: A comprehensive review of taxonomy, evolution, epidemiology, diagnosis, prevention, and control regiments so far , 2022, German Journal of Microbiology.

[90]  C. Series Human Monkeypox and Human Immunodeficiency Virus Co-infection : A Case Series in Makurdi , Benue State , Nigeria , 2020 .

[91]  I. Damon,et al.  Human monkeypox. , 2014, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[92]  B. Grab,et al.  Clinico-epidemiological features of monkeypox patients with an animal or human source of infection. , 1988, Bulletin of the World Health Organization.

[93]  P. Ziegler,et al.  A human infection caused by monkeypox virus in Basankusu Territory, Democratic Republic of the Congo. , 1972, Bulletin of the World Health Organization.