O The alleged case of the monkey herd in Ceara can be diagnosed as chickenpox, which is commonly known as barcelella. That is what Vilani Matos, the coordinator of the epidemiological surveillance and health prevention of the Secretary of State (Sesa), said, and that would be the “strongest hypothesis”. She participated in a live broadcast from the State School of Public Health (ESP-CE) this Tuesday (31), along with Christianne Takeda, an infectious disease specialist at São José Hospital for Infectious Diseases (HSJ).
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Sesa reported this Monday (30) that he had received a notification of an alleged case of a monkey (monkey) from a Fortaleza resident. It is one of two alleged cases in Brazil, the second in Santa Catarina.
“This patient has never had chickenpox, so he certainly didn’t get the vaccine because it’s recent. We’ll investigate when the result arrives. We’ll have to wait for the lab result, even though we have all this evidence. [que não se trata de varíola dos macacos]”says the coordinator.
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According to Vilani, all the recommended measures were applied to the patient for suspected cases of monkey, such as isolation at home, search for contacts and collection of material for examinations, which is in the process.
“For this patient, the main suspect is not a bat (monkey), but a monkey. We are researching syphilis, denguea, chikungunya, because the symptoms are very similar, ”said Vilani.
Understand the difference between the now extinct monkey and the human smallpox
Definitions of cases of illness investigated by the Ministry of Health are distributed suspicious and probable.
As for the Ceará patient, Vilani has confirmed that it is a suspicious case and that the initial symptoms are very general, that is, they can be assimilated with other diseases, so they need attention from the beginning.
“It is not a possible case, therefore, to rule out [da varíola dos macacos] it’s already much bigger at the moment because it doesn’t meet all the criteria. To be a likely case, it must present symptoms and have an epidemiological link, such as contact with people with confirmed cases without a mask or who have traveled to endemic areas, and have no laboratory confirmation, ”he added.
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Sesa describes the difference between suspected and possible cases of technical notices issued on care notices:
suspicious case: Sudden onset of fever above 38.5 ° C in any person with lymphadenopathy and unexplained acute rash, and with one or more of the following signs or symptoms:
- Back pain
- And excluding diseases that are subject to differential diagnosis and / or any other locally relevant cause of vesicular or papular eruption. * varicose veins, herpes zoster, measles, fungus, dengue, chikungunya, herpes simplex, bacterial skin infections, widespread gonorrhea infection, primary or secondary syphilis, chancroid, lymphogranuloma venereum, inguinal granuloma, moluscum contagiosum (contagious). .
probable case: person who meets one or more of the following criteria and criteria:
- Having an epidemiological link (close and long exposure without respiratory protection;
- Direct physical contact, including sexual intercourse;
- or contact with contaminated materials (such as clothing or bedding) with a safe or confirmed case of Monkeypox since March 15, 2022, 21 days prior to symptoms or history of travel to an endemic country or confirmed case of Monkeypox. symptoms appear within 21 days.
Authorities urge citizens to report classic monkey symptoms (Photo: Getty Images / BBC)
According to Sesa, the epidemiological investigation into the alleged case of the Fortaleza patient did not reveal any relocation to the confirmed sites or contact with people with the disease. Sesa’s health care continues to monitor the case.
The Ministry of Health has announced that two cases are being investigated as suspects in the country, one in Ceara and the other in Santa Catarina. A third suspected case is being investigated in Rio Grande do Sul.