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The patient had severe immunodeficiency with a positive HIV test and CD4 T cells 1/uL; severe systemic infection.
On October 25, the Ho Chi Minh City Department of Health announced that a 30-year-old male patient, residing in Long An province, died of monkeypox-related disease in the late stage of immunodeficiency recorded at the Ho Chi Minh City Hospital for Tropical Diseases.
According to a summary report from the Ho Chi Minh City Hospital for Tropical Diseases, the patient was admitted on October 2 due to fever and blisters for 9 days. The patient was hospitalized for isolation and treatment, and the test for the blisters had a positive PCR result for monkeypox.
The patient had severe immunodeficiency with a positive HIV test and a TCD4 count of 1/uL. The patient had severe systemic infections with invasive candidiasis, Pneumocystis jirovecii infection, disseminated tuberculosis, which progressed to septic shock and severe multiple organ failure.
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The patient was treated intensively with antibiotics, antifungals, anti-tuberculosis drugs, mechanical ventilation, and blood filtration. However, the condition worsened and he died after 18 days of intensive treatment. The Ho Chi Minh City Department of Health has directed the establishment of a professional council to draw conclusions and make an official report on this case.
According to the Ho Chi Minh City Department of Health, as of the evening of October 22, the city's health sector was treating 20 cases of monkeypox at the Hospital for Tropical Diseases, including 18 cases diagnosed with B20 (infectious syndrome caused by HIV virus); including 17 males and 1 female.
There are currently 2 severe clinical cases with diagnoses of sepsis, cellulitis, perineal infection, malignant syphilis, lung abscess/draining empyema, skin infection...
To proactively prevent monkeypox, medical experts recommend:
1. Cover your mouth and nose when coughing or sneezing. Do not spit in public places.
2. Wash your hands frequently with soap and clean water or hand sanitizer.
3. People with symptoms of acute rash of unknown cause accompanied by one or more suspicious symptoms should proactively contact a medical facility for timely monitoring and consultation; at the same time, they should proactively self-isolate and avoid sexual intercourse.
4. Avoid close contact with people with monkeypox, avoid direct contact with wounds, body fluids, droplets and objects and utensils contaminated with the pathogen. In case there is someone in your residence/workplace who is infected or suspected of being infected, you need to notify the health authority for timely advice and treatment, do not self-treat.
5. People traveling to countries where monkeypox is endemic (Central and West Africa) should avoid contact with mammals (dead or alive) such as rodents, marsupials, and primates that may contain monkeypox virus. When returning to Vietnam, they should proactively report to local health authorities for advice.
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