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. 2022 Sep 18;14(9):e29304. doi: 10.7759/cureus.29304

Table 1. Comparison of smallpox, chickenpox, and monkeypox .

dsDNA : double-stranded deoxyribonucleic acid 

Characteristics Monkeypox Smallpox Chickenpox
Causative agent Monkeypox virus, (dsDNA virus, Family: Poxviridae) Variola virus, (dsDNA , Family: Poxviridae ) Varicella-zoster virus (dsDNA, Family: Poxviridae)
Animal reservoir Yes No No
Mode of transmission Contact with exotic animals in endemic regions; contact with infected humans Droplet Droplet
Asymptomatic infections      
Reactivation No No Yes (herpes zoster)
Protection with smallpox vaccine Partial Yes No
Vaccine availability Yes Yes Yes
Incubation period 5-21 days 10-14 days 14-16 days
Prodromal fever Yes Yes Yes
Lymphadenopathy Yes (submandibular, cervical, and sublingual region) No No
Involvement of body Centrifugal (80%) or centripetal (20%) Centrifugal Centripetal
Depth of lesions Superficial Deep Superficial
Evolution of lesions Monomorphic (80%), pleomorphic (20%) Monomorphic Pleomorphic
Involvement of palm Yes Yes No