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. 2022 Sep 30;14(5):772–783. doi: 10.3390/idr14050079

Table 4.

Comparison of monkeypox clinical presentation and death rates with smallpox and chickenpox (adapted from [14]).

Characteristics Monkeypox Smallpox Chickenpox
Virus Monkeypox virus Variola virus Varicella-zoster virus
Fever 1–3 days before rash 1–3 days before rash 1–2 days before rash
Rash Rash often in one stage of development; slow development; lesions denser on the face, and present on palms and soles Rash often in one stage of development; slow development; lesions denser on the face and in mucous membranes of the nose and mouth, and present on palms and soles Rash often in multiple stages of development; rapid development; lesions denser on the trunk and absent on palms and soles
Lymphadenopathy Present Absent Absent
Death Up to 10% Up to 30% Rare