Montana’s Department of Public Health and Human Services (DPHHS) and Flathead City-County Health Department Friday confirmed a single presumptive case of monkeypox virus infection in a Flathead County adult.
Initial testing was completed August 5, 2022, at the Montana State Public Health Laboratory and confirmatory testing will occur next with the Centers for Disease Control and Prevention (CDC).
DPHHS is working closely with local public health and the patient’s health care provider to identify individuals who may have been in contact with the patient while they were infectious. The local public health jurisdiction is performing contact tracing and will communicate with individuals identified as a close contact. The patient did not require hospitalization and is isolating at home.
As of Friday, CDC reports 7,510 cases of monkeypox/orthopoxvirus in 48 other U.S. states, Puerto Rico and the District of Columbia.
Wyoming is the only state not recording a monkeypox case.
Symptoms of monkeypox can include fever, headache, muscle aches and backache, swollen lymph nodes, chills, exhaustion, and a rash that can look like pimples or blisters that appear on the face, inside the mouth, and on other parts of the body.
The illness typically lasts 2-4 weeks and most people get better on their own without treatment. At times, monkeypox can cause scars from the sores, the development of secondary infections, such as pneumonia, or other complications.
The virus does not easily spread between people with casual contact, but transmission can occur through contact with infectious sores and body fluids; contaminated items, such as clothing or bedding; or through respiratory droplets associated with prolonged face-to-face contact.
“Early recognition of the characteristic monkeypox rash by patients and clinicians is necessary to minimize transmission of this virus,” said DPHHS acting State Medical Officer Dr. Maggie Cook-Shimanek. “Anyone with symptoms of monkeypox should isolate from others and immediately consult a healthcare provider.”
Because monkeypox transmission requires close and prolonged contact, close-knit social networks have been particularly impacted.
There is no treatment specifically for monkeypox. But because monkeypox and smallpox viruses are closely related, antiviral drugs (such as tecovirimat) and vaccines developed to protect against smallpox may be used to prevent and treat monkeypox virus infections. The need for treatment will depend on how sick someone gets or whether they are likely to get severely ill. DPHHS is pre-positioning a supply of tecovirimat in the state for use, if necessary. CDC does not recommend widespread vaccination against monkeypox at this time. However, vaccination may be recommended for some people who have been exposed to the monkeypox virus.
Anyone with a rash that looks like monkeypox should talk to their healthcare provider, even if they don’t think they had contact with someone who has monkeypox.
A person who is sick with monkeypox should isolate at home. If they have an active rash or other symptoms, they should be in a separate room or area from other family members and pets, when possible.
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