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<ul class="summary-list"><li>A man in his 30s with severe <keyword id="13900629" type="UNKNOWN" weightage="60" keywordseo="monkeypox" source="Orion">monkeypox</keyword> said he needed hospital treatment for 11 days.</li><li>Harun Tulunay said his throat was so painful he couldn't swallow his own spit.</li></ul>A man hospitalized for <a href="https://www.insider.com/monkeypox-symptoms-cases-europe-uk-spain-portugal-2022-5" target="_blank" rel="noopener">monkeypox</a> for almost two weeks told Insider he couldn't swallow his own spit and feared he would die.Monkeypox usually causes a mild illness, with most people recovering <a href="https://www.gov.uk/guidance/monkeypox#treatment" target="_blank" rel="noopener">within a few weeks without treatment</a>.But Harun Tulunay, a 35-year-old <a href="https://positivelyuk.org/about-us/" target="_blank" rel="noopener">charity worker</a> in the UK, spent 11 days in the hospital with what doctors told him was one of the most severe monkeypox cases they had treated.Pregnant people, kids under 8 years old, those with eczema, and people with weakened immune systems <a href="https://www.who.int/europe/news/item/15-07-2022-we-always-think-it-s-not-going-to-happen-to-us----a-sexual-health-worker-s-first-hand-experience-of-monkeypox" target="_blank" rel="noopener">may</a> be at risk of severe monkeypox. Tulunay has <a href="https://www.insider.com/guides/health/sex-relationships/stages-of-hiv">HIV</a>, which can damage cells in the immune system, but said blood tests suggested he had a robust immune system at the time of his monkeypox infection.<a href="https://www.infectiousdiseases.cuimc.columbia.edu/profile/jason-e-zucker-md" target="_blank" title="" rel="noopener noreferrer">Dr. Jason Zucker</a>, an infectious-disease specialist working in New York who was not involved in Tulunay's case, told <a href="https://www.nytimes.com/2022/07/18/nyregion/new-york-monkeypox-vaccine.html" target="_blank" rel="noopener">The New York Times</a> that "for a percentage of people it is much more worse than I would have anticipated" but that it's unclear why.Tulunay is one of <a href="https://www.gov.uk/guidance/monkeypox#treatment" target="_blank" rel="noopener">2,137 confirmed monkeypox cases</a> in the UK since an unusual outbreak across <a href="https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON396" target="_blank" rel="noopener">at least 50 countries</a> <a href="https://www.insider.com/monkeypox-symptoms-cases-europe-uk-spain-portugal-2022-5" target="_blank" rel="noopener">started in May</a>. Most cases in the UK are in London, where Tulunay, who is gay, lives and where he thinks he caught it after kissing someone. In the US, there were <a href="https://www.cdc.gov/poxvirus/monkeypox/response/2022/us-map.html" target="_blank" rel="noopener">2,323 confirmed cases</a> of the disease as of Wednesday, spread across 43 states, Washington, DC, and Puerto Rico but mostly concentrated in New York. No one has died of the disease in either country. A <a href="https://www.cdc.gov/poxvirus/monkeypox/response/2022/index.html">high number</a> of cases are among gay, bisexual, and other men who have sex with men, according to the Centers for Disease Control and Prevention. But anyone can catch it from having close contact with an infected person or touching contaminated items such as bedding. As <a href="https://www.insider.com/monkeypox-gay-bisexual-men-affected-but-who-warns-stigma-2022-5">Insider's Hilary Brueck previously reported</a>, it is not a "gay disease." <h2>Tulunay said the pain felt like flesh being ripped from his bones </h2>Tulunay started feeling unwell on June 13 with a mild fever that he thought was from COVID-19, but tests were negative.Over the next 24 hours, he developed excruciating pain throughout his body that felt "like ripping off your flesh from your bones," he said.After five days, he had fevers of more that 103 degrees Fahrenheit, swollen glands, and a sore throat. Tulunay said that despite a heat wave in London, he slept with four blankets, adding that he got heat rash from the fevers.Tulunay took excessive doses of <a href="https://www.insider.com/guides/health/treatments/types-of-painkillers">paracetamol</a> and ibuprofen, as well as other drugs he had at home that he hoped could help: antibiotics, hay-fever tablets, and over-the-counter sleeping pills. Nothing worked.He also noticed a painless <a href="https://www.insider.com/monkeypox-symptoms-cases-europe-uk-spain-portugal-2022-5" target="_blank" rel="noopener">pimplelike spot on his nose</a> but didn't think much of it.<div type="image" title="Harun Tulunay heat rash" height="1008" width="2016" msid="93037292" hostid="261"></div>Four days later, Tulunay got a monkeypox test at his local hospital and a medical review for any other illness that could cause his symptoms, as the test results didn't come back right away.The doctors discharged him the same day with antibiotics for tonsillitis. A nurse called daily to check on him, but over the next three days, he said his throat became so painful and swollen that he couldn't eat, drink, or swallow his own spit.<h2>'I thought I was going to die"</h2>After Tulunay told the nurse he couldn't swallow his spit, she immediately arranged for him to be admitted to the hospital, where he was treated with paracetamol and <a href="https://www.insider.com/guides/health/conditions-symptoms/opioid-withdrawal-symptoms">opioid</a> painkillers."A friend called me, and I clearly remember I told her that I think I'm going to die because nothing is improving," he said.Three days after he was admitted to the hospital, Tulunay's test confirmed he had monkeypox, and lesions had appeared on his hands, legs, and feet."My throat and mouth were all covered," he said, adding that the lesion on his nose got infected.<div type="image" title="Tulunay's infected nose with raised yellow bumps around a discolored hole" height="800" width="1600" msid="93037293" hostid="261"></div>Tulunay was transferred to a specialist hospital for treatment with an experimental drug that works for <a href="https://www.insider.com/monkeypox-smallpox-vaccine-protect-virus-explained-biden-cases-disease-022-5">smallpox</a>, a related virus.The doctors treated him in hazmat suits to protect themselves, and Tulunay said this, and being in his own room, was the worst part of the experience."I was wondering, 'Am I going to hug someone again?'" he said. After another five days in the hospital, Tulunay was discharged and, aside from a scar on his nose, has fully recovered, ending isolation on July 14.Tulunay said he didn't go public with his story to scare people but to raise awareness so people could be more considerate of others and empowered to look after their own <keyword id="11894571" type="UNKNOWN" weightage="100" keywordseo="health" source="Orion">health</keyword>."Look at me. It took some time, but I'm fine," he said.

A man hospitalized for monkeypox says he couldn't swallow his own spit and feared he would die

<ul class="summary-list"><li><keyword id="11892827" type="UNKNOWN" weightage="60" keywordseo="ghana" source="Orion">Ghana</keyword> declared its first outbreak of the <keyword id="14488383" type="UNKNOWN" weightage="60" keywordseo="marburg-virus" source="Orion">Marburg virus</keyword> on Sunday,</li><li>The virus, similar to Ebola, is a deadly and highly contagious sickness.</li></ul>Ghana declared its first outbreak of the highly-contagious and deadly Marburg virus, sparking an effort to contain the sickness.Two patients, men who were 26 and 51, died from the illness in the southern Ashanti region of Ghana on June 27 and 28, <a href="https://www.afro.who.int/countries/ghana/news/ghana-declares-first-ever-outbreak-marburg-virus-disease-0">the World Health Organization (WHO) said in a press release Sunday</a>. People who have caught the virus in a previous outbreak had a 24% to 88% chance of dying from it, depending on the strain they caught and the care they had access to, <a href="https://www.afro.who.int/countries/ghana/news/ghana-declares-first-ever-outbreak-marburg-virus-disease-0">per the WHO.</a>There is no vaccine or cure.Marburg is a cousin of the virus that causes Ebola virus disease (EVD). Like Ebola, the disease caused by the Marburg virus is a hemorrhagic fever.Symptoms include fever, bloody diarrhea, bleeding from the gums, skin, eyes, and bloody urine, <a href="https://twitter.com/_GHSofficial/status/1548688781632495616/photo/1">the Ghana Health Service said in a statement Sunday.</a><div type="image" title="A map shows the location of the southern Ashanti region in Ghana, where two cases of Marburg virus have been detected." height="1295" width="1727" msid="92960341" hostid="261" sizebytes="118476"></div>The two patients in Ghana, who were not named, had symptoms including diarrhea, fever, nausea, and vomiting, per WHO.Authorities responded quickly in the hope of containing it, according to Matshidiso Moeti, WHO Regional Director for <keyword id="11894607" type="UNKNOWN" weightage="60" keywordseo="africa" source="Orion">Africa</keyword>.Marburg can "easily get out of hand" without immediate containment, but "health authorities have responded swiftly, getting a head start preparing for a possible outbreak," she said.98 contacts of the patients are being monitored and have been quarantined, per the Ghana Health Service. Marburg virus disease is a zoonotic disease, which means it can pass from animals to humans.Human-to-human transmission can occur through bodily fluids of infected people, surfaces, and materials, per WHO.Previous Marburg outbreaks have been seen elsewhere in Africa, per the WHO, including in Guinea, Angola, the Democratic Republic of the Congo, Kenya, South Africa, and Uganda.Treatment against the symptoms of the illness, such as rehydration with oral or intravenous fluids, can improve the odds of survival.

Ghana declares outbreak of Marburg virus, a deadly and contagious disease like Ebola, which officials are trying to contain

<ul class="summary-list"><li>A US resident got monkeypox after returning from <keyword id="12217306" type="UNKNOWN" weightage="60" keywordseo="nigeria" source="Orion">Nigeria</keyword> to Maryland.</li><li>A similar but separate case was reported in Dallas in July.</li></ul>There is a second case of monkeypox in the US after a traveler returned from visiting Nigeria, the Centers for Disease Control and Prevention has confirmed.The patient is currently in isolation in Maryland, the CDC wrote in a statement Wednesday. The agency is working to contact any passengers who may have been exposed to the patient on the plane, although mandated mask-wearing likely protected them from significant risk.This is the second case of monkeypox identified in the US this year. A man was <a href="https://www.insider.com/cdc-man-hospitalized-with-rare-monkeypox-virus-in-texas-2021-7">hospitalized with the illness</a> in June after returning to Dallas from Nigeria.Monkeypox is a rare virus similar to <keyword id="12554315" type="UNKNOWN" weightage="60" keywordseo="smallpox" source="Orion">smallpox</keyword>, but milder. It's typically spotted in Central and West Africa, but infections have been identified on other continents six times before.Most recently,<a href="https://www.who.int/emergencies/disease-outbreak-news/item/monkeypox---united-kingdom-of-great-britain-and-northern-ireland"> three cases of monkeypox were reported in the UK</a> during summer 2021. Like the cases in the US, the first infection originated in Nigeria, but other Brits were infected via close contact. The virus can spread via respiratory droplets, similar to the coronavirus. But it's also contagious to anyone who touches the "pox" (lesions) or the fluids within them. The CDC has instructed healthcare providers in the US to be vigilant if they see any patients with poxvirus-like lesions.Early symptoms of the monkeypox include fever, headache, muscle aches, exhaustion, and swollen lymph nodes. While the initial illness could be confused with the flu or COVID-19, the telltale, pimply rash typically appears within three days.The illness can last two to four weeks, according to the CDC. Monkeypox is fatal for as many as 1 in 10 people who get sick in Africa. There's no proven treatment for it, but the <a href="https://www.businessinsider.com/who-it-took-184-years-to-eradicate-smallpox-after-vaccine-2020-5">smallpox vaccine</a> and some antivirals can help control outbreaks.

A second American has come down with monkeypox, a rare virus that causes pus-filled boils

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A man hospitalized for monkeypox says he couldn't swallow his own spit and feared he would die

Dr. Catherine Schuster-Bruce

Ghana declares outbreak of Marburg virus, a deadly and contagious disease like Ebola, which officials are trying to contain

Marianne Guenot

A second American has come down with monkeypox, a rare virus that causes pus-filled boils

Andrea Michelson

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