It is true that it is not a long term, placebo controlled randomized trial article. It's just only what it states it is - a presentation of the clinical features and novel presentations of monkeypox in London:

Clinical features and novel presentations of human monkeypox in a central London centre during the 2022 outbreak: descriptive case series BMJ 2022; 378 doi: https://doi.org/10.1136/bmj-2022-072410 (Published 28 July 2022)

Is this a plandemic? That is exactly the possibility the article leaves open - is the origin of this man-made? It is strongly implied that this cannot be ruled out.

It's not a long term, placebo controlled randomized trial. It's just only what it states it is - a presentation of the clinical features and novel presentations of monkeypox in London:

Clinical features and novel presentations of human monkeypox in a central London centre during the 2022 outbreak: descriptive case series BMJ 2022; 378 doi: https://doi.org/10.1136/bmj-2022-072410 (Published 28 July 2022)