South Africa on Monday confirmed a fourth case of monkeypox.

The latest case was announced by Health minister Dr Joe Phaahla, who noted that the patient is a 28-year-old man from the Western Cape who recently travelled to Spain.

The case comes a month after the third case was confirmed, and as South Africa remains vigilant against the disease.

Monkeypox is a viral disease that causes flu-like symptoms and skin lesions. It is endemic in parts of Africa, but not South Africa.

It occurs primarily in tropical rainforest areas but is occasionally exported to other regions.

It is usually a self-limited disease with symptoms lasting from 2 to 4 weeks.

According to the World Health Organization (WHO), the case fatality ratio in recent times has been around 3–6 percent.