A large proportion of monkeypox cases have been occurring in people with HIV. Researches have come up with three theories to explain what's going on.
, chief medical officer for the CDC's monkeypox outbreak response. And that's the population that's already at risk for HIV.
Others agree."The early spread of monkeypox was associated with ... cultural events – parties and celebrations that involved sexual networks" among gay and bisexual men, says, an HIV physician and researcher in Atlanta. People returning from parties abroad seeded early monkeypox cases in the U.S., where monkeypox has continued to spread from person-to-person"almost exclusively" through sexual contact, according to the CDC.
What it means is that monkeypox, HIV and sexually transmitted infections have overlapping risk factors, and doctors should look out for all of them, says Brooks:"If you diagnose someone with monkeypox, you should be screening for HIV as well as sexually transmitted infections. Conversely, among persons at risk for HIV and sexually transmitted infections who are seeking care, you need to think monkeypox and consider evaluating folks for that.
Still, monkeypox can be very dangerous for patients who have untreated HIV, Titanji says – who are often seriously immunocompromised and may also be more likely to delay care, especially if they lack access to health insurance or high-quality care.HIV patients may see doctors more often so monkeypox cases are more readily identified
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