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Mpox (monkeypox): causes, symptoms, treatment, prevention
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Published on 01/27/26
(Updated on 02/03/26)
9

Mpox (monkeypox): causes, symptoms, treatment, prevention

Written by
Dr. Aarav Deshmukh
Government Medical College, Thiruvananthapuram 2016
I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.
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Introduction

If you’ve stumbled upon this guide, you’re probably curious or concerned and that’s totally fair. Mpox (monkeypox): causes, symptoms, treatment, prevention are at the forefront of public health talks these days. In this article, we’re diving into everything you need to know about mpox (monkeypox), from how you catch it to what you can do to lower your risk. We’ll cover the causes, the classic monkeypox symptoms, available treatments, and proven prevention strategies. By the end, you’ll be armed with knowledge so let’s jump right in!

What is Mpox? 

Mpox, once widely known as monkeypox, is a viral disease caused by the mpox virus, belonging to the Orthopoxvirus genus. It’s a close cousin of smallpox but generally less severe. Still, even if it’s milder than its infamous relative, it carries distinct risks and complications if left unchecked.

  • Origin of the name: Coined early on when researchers spotted the virus in monkeys in a Danish lab in 1958.
  • Official renaming: In 2022 the World Health Organization recommended using “mpox” to reduce stigma and confusion.

At its core, mpox is a zoonotic virus meaning it jumps from animals to humans. While initially rare outside of certain parts of West and Central Africa, recent outbreaks have demonstrated how quickly it can spread globally. The buzz around “monkeypox” rose dramatically starting in 2022, as cases cropped up in Europe, North America, and beyond. There’s still a lot to learn, but it’s clear that mpox is here to stay unless we’re proactive.

History and Emergence

The first documented case in humans was in 1970, in the Democratic Republic of Congo. From there, sporadic outbreaks were reported in Central and West Africa, often linked to bushmeat consumption or contact with infected animals. Then came 2003, when the U.S. experienced its first outbreak traced back to imported Gambian rats housed with prairie dogs sold as pets. Who knew that exotic pet trade would play a role, right?

Transmission and Causes

Mpox transmission happens via close contact with lesions, fluids, respiratory droplets, or contaminated materials like bedding or clothing. Animal-to-human transmission might occur through bites or scratches, handling wild animals, or eating poorly cooked meat. Human-to-human spread often requires prolonged face-to-face contact so casual interactions are low risk, but a crowded indoor party? That’s a different story. 

Causes of Mpox 

Understanding the causes of mpox can help you make better choices. First off, the primary reservoir hosts are rodents not monkeys. Yes, the misnomer “monkeypox” stuck early on, but field studies show squirrels, Gambian pouched rats, and rope squirrels as key carriers in Africa. Monkeys and humans are incidental hosts.

When an infected animal carries the virus, it sheds it through saliva, respiratory secretions, or excretions. If you handle that animal or its products like fur, meat, or blood you have a potential route of infection. Even eating bushmeat that’s undercooked can pose a risk, though cooking well kills the virus.

Animal Reservoirs

  • Rodents in African forests are the real MVPs (sorry, monkeys).
  • Lab studies confirm prairie dogs and rabbits can get infected, which led to the 2003 U.S. event.
  • Researchers suspect other African mammals like rats and non-human primates might also harbor the virus.

So, if you’re trekking in a rainforest, watch out for wildlife. I once visited a remote village and saw locals eating bushmeat; it’s a stark reminder that cultural practices and health risks often intersect.

Human-to-Human Spread

Once mpox jumps to a person, it can spread to others primarily through:

  • Direct contact with lesions or body fluids.
  • Respiratory droplets during prolonged face-to-face interaction usually within 6 feet.
  • Contaminated clothing, bedding, or surfaces (fomites).

An interesting oddity: some cases have presented without the classical rash or fever, making them harder to spot early. That’s why awareness is key. Note the risk is higher in households or health-care settings without proper infection control. In contrast, casual passing encounters like walking past someone in a grocery store pose extremely low risk.

Symptoms and Diagnosis 

Mpox typically shows up after an incubation period ranging from 5 to 21 days though most people develop symptoms around 7–14 days post-exposure. The disease unfolds in two phases: an initial invasion period, then a rash period.

Early Signs (Prodrome)

During the invasion phase, you might experience:

  • Fever, chills, sweats (sometimes drenching night sweats.
  • Headache often severe
  • Muscle aches (myalgias) and back pain
  • Lymphadenopathy (swollen lymph nodes) a big clue distinguishing mpox from similar illnesses like chickenpox or measles.

Swollen lymph nodes typically appear in the neck, armpits, or groin. People often mistake early mpox for the flu or strep throat, delaying diagnosis.

Later Stages and Complications

Within 1–3 days of fever onset, a rash emerges. It progresses through phases:

  • Macules (flat, red spots)
  • Papules (raised bumps)
  • Vesicles (fluid-filled blisters)
  • Pustules (pus-filled lesions)
  • Scabs that eventually fall off

You can have anywhere from a few to hundreds of lesions, often starting on the face and then spreading to extremities (including palms and soles!). Lesions may cause intense itching, pain, or secondary bacterial infections if scratched. In rare cases, complications include:

  • Bronchopneumonia
  • Sepsis
  • Encephalitis (brain inflammation)
  • Corneal infection leading to vision loss

Children, pregnant women, or immunocompromised folks face higher risks of severe outcomes. Accurate clinincal diagnosis can be confirmed via PCR testing of lesion swabs or fluid.

Treatment Options for Mpox 

The silver lining? There’s no specific cure needed for most mild cases; supportive care suffices. But for moderate to severe disease, certain antiviral medications can make a big difference.

Antiviral Medications

  • Tecovirimat (TPOXX): Originally approved for smallpox, it’s now used off-label for mpox. Studies show it can shorten illness duration and lesion formation when given early.
  • Cidofovir: Another option, though it has potential kidney toxicity, so it’s generally reserved for severe cases.
  • Brincidofovir: A lipid conjugate of cidofovir with less nephrotoxicity, still under evaluation.

Clinical trials are ongoing, so guidelines may shift. For now, antiviral therapy is recommended for patients with severe disease or those at high risk of complications.

Supportive Care and Home Remedies

Most folks can manage mild mpox at home with basic supportive care:

  • Rest and hydration — think lots of water, broths, electrolyte solutions.
  • Pain relief: acetaminophen or ibuprofen to handle fever and aches.
  • Skin care: keep lesions clean, use antiseptic creams to prevent secondary infections.
  • Loose clothing to avoid irritating lesions.
  • Cool baths with baking soda or colloidal oatmeal to soothe itching.

If you’re living through a bout of mpox, you might swear by aloe vera gels, coconut oil, or over-the-counter anti-itch lotions. They don’t cure the virus, but they sure help with discomfort!

Prevention Strategies 

Preventing mpox largely revolves around vaccines, hygiene, and limiting exposure. Unlike the days when smallpox reigned, we have tools that can drastically lower risk.

Vaccines and Immunization

  • JYNNEOS (Imvanex/Imvamune): A two-dose vaccine approved for prevention of mpox in adults at high risk. It’s a non-replicating, live vaccine with fewer side effects compared to older options.
  • ACAM2000: A live, replicating vaccine used in select circumstances. More side effects, so reserved for certain groups.

Who should get vaccinated? Health care workers handling mpox cases, lab personnel working with the virus, and people with known exposures. Some public health agencies also recommend vaccination for individuals with higher risk sexual behaviors during an outbreak.

Hygiene and Protective Measures

Simple steps can go a long way:

  • Frequent handwashing with soap and water, or use alcohol-based sanitizers.
  • Avoid close, skin-to-skin contact with anyone who has a rash resembling mpox.
  • Don’t share bedding, towels, or clothing with infected individuals.
  • Wear gloves and other PPE if you’re caring for someone with confirmed or suspected mpox  health-care settings especially!
  • Disinfect high-touch surfaces with EPA-approved disinfectants.

tip: if you’re traveling to an area with active mpox cases, pack your own towels and avoid wildlife markets. It’s basic, but it works.

Conclusion 

So, there you have it a whirlwind tour of mpox (monkeypox): causes, symptoms, treatment, prevention. From animal reservoirs in African forests to human-to-human spread in global communities, it’s clear that understanding this virus is key to staying safe. Symptoms can range from flu-like malaise and swollen lymph nodes to pustular rashes that might leave scars. While most recover with supportive care, antivirals like tecovirimat are game-changers for severe cases.

Prevention lies in vaccination, basic hygiene, and limiting close contacts during outbreaks. The shift from “monkeypox” to the official “mpox” highlights the need to combat stigma alongside the virus itself. Whether you’re a traveler, health-care worker, or just someone trying to be informed, remember that knowledge is power. Stay vigilant, get vaccinated if recommended, and wash your hands sometimes the simplest steps make the biggest difference.

Next time you hear Mpox (monkeypox): causes, symptoms, treatment, prevention, you’ll know exactly what’s behind the headlines and how you can protect yourself and loved ones. 

FAQs

  • Q1: How contagious is mpox?
    A: Mpox spreads primarily through close contact with lesions or body fluids. Respiratory droplets can also transmit the virus during prolonged face-to-face interaction. Casual encounters pose low risk.
  • Q2: Can someone with mpox infect others before showing symptoms?
    A: Generally, people become contagious once symptoms, like fever or rash, begin. However, rare cases of transmission during the prodromal phase (early symptoms) have been reported.
  • Q3: Is there a specific cure for mpox?
    A: No cure, but antivirals such as tecovirimat can shorten illness in moderate to severe cases. Most recover with supportive home care.
  • Q4: How long does an mpox infection last?
    A: Symptoms typically last 2 to 4 weeks. Lesions go through several stages before scabbing and eventually falling off.
  • Q5: Should I get vaccinated?
    A: If you’re at higher risk — like health-care workers handling mpox patients or those with known exposures — vaccination is recommended. Check local health guidelines.
  • Q6: Can mpox be prevented with standard disinfectants?
    A: Yes. EPA-registered hospital-grade disinfectants are effective against mpox. Clean surfaces regularly, especially if someone in your home is infected.
  • Q7: Are pets at risk?
    A: Domestic animals like dogs or cats could possibly carry the virus if they have close contact with infected humans. Isolate infected individuals from pets to be safe.
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