Box 1.

Key considerations when managing a patient with monkeypox infection

  • Ensure that you are following local infection control guidelines to make sure that the patient is appropriately isolated and that you are wearing the correct personal protective equipment

  • Take a full social history to establish if the patient can self-isolate and whether they have had contact with high-risk individuals (children, pregnant women and immunocompromised individuals)

  • Offer support with symptom control, eg oral and topical analgesia and avoidance of constipation in proctitis/proctalgia

  • Assess the patient for key complications, which may require hospital admission

  • Offer testing for concomitant sexually transmitted infections

  • Ensure that the case has been reported to the appropriate public health body (in the UK, monkeypox is a notifiable disease and should be reported to the local health protection team)