Monkeypox Vs Chickenpox: Key Differences According To Doctors

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All IndiaPress Trust of IndiaUpdated: August 01, 2022 10:21 am I

Monkeypox is a viral zoonosis (a virus transmitted to humans from animals) with symptoms similar to those seen in the past in smallpox patients, although it is clinically less severe.
New Delhi: Skin rashes and fever, the common symptoms of both monkeypox and chickenpox have caused confusion among people although doctors have stressed that there is a difference in the way the symptoms of both viral diseases manifest in patients.
They have "Due to this situation, some patients are getting confused and misinterpret chickenpox with monkeypox. The patient may determine whether they have monkeypox or not by understanding the sequence and the onset of symptoms," Dr Ramanjit Singh said.

Explaining further, he said monkeypox usually starts with fever, malaise, headache, sometimes sore throat and cough, and lymphadenopathy (swollen lymph nodes) and all these symptoms appear four days prior to skin lesions, rashes and other problems which primarily start from hand and eyes and spread to the whole body.

Other experts agree and say that apart from skin involvement, there are other symptoms too in the case of monkeypox, but it is always better to consult a doctor to dispel any doubts.

In a couple of instances reported recently, two suspected cases of monkeypox turned out to be chickenpox.

A suspect case of monkeypox was admitted to the Lok Nayak Jai Prakash Narayan Hospital (LNJP) Hospital in Delhi last week with fever and lesions, tested negative for the infection but was diagnosed with chickenpox. Similarly, an Ethiopian citizen, who had gone to Bengaluru was tested for monkeypox after he showed symptoms but his report confirmed that he had chickenpox.

India has so far reported four cases of monkeypox - three from Kerala and one from Delhi. Dr Satish Koul, Director, Internal Medicine, Fortis Memorial Research Institute said, "In monkeypox, the lesions are bigger than chickenpox. In monkeypox, the lesions are seen on palms and soles. In chickenpox, lesions are self-limiting after seven to eight days but not so in monkeypox. The lesions are vesicular and itchy in chicken pox. In monkeypox, the lesions are broad vesicular and non-itchy." Dr Satish Koul also said the duration of fever is longer in monkeypox and such a patient has enlarged lymph nodes.

Elaborating on the virus that causes chickenpox, Dr S C L Gupta, medical director of Batra Hospital, said chickenpox is a Ribonucleic acid (RNA) virus which is not as severe but it too leads to rashes on the skin. "This is the season of chickenpox. Usually, during monsoon, there is this dampness, a rise in temperature, water logging, formation of moisture and wet clothes, all of these leads to the growth of the virus.

"Also, there is a religious aspect associated with the disease. People treat it like a 'goddess' and so such patients are not treated with any sort of medicines. They are kept in isolation and are given time to heal," he said.

Talking about monkeypox, Dr S C L Gupta explained that such virus requires an animal host but is self-limiting with sore throat, fever and normal virus signs.
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