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Silva-Mendoza CA, Anceno A, Magdaleno-Rodríguez DR, Alvarado-Bahena PA, Miranda- Blasnich HA, Ascencio-Martínez MA, Silva-Villarreal CD, Garibay-Aponte AA, Valdez-Gaona A, Granada-Vigueras A, Fernández Varela-Gómez F, Morales-Montor JG. Crossing genitourinary limits: First case of monkeypox diagnosed by a urology service in Mexico. A diagnostic challenge. Urol Case Rep 2025; 60:103006. [PMID: 40161876 PMCID: PMC11952805 DOI: 10.1016/j.eucr.2025.103006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2025] [Accepted: 03/05/2025] [Indexed: 04/02/2025] Open
Abstract
This case is the first documented instance of genitourinary monkeypox (Mpox) diagnosed by a urology service in Mexico, emphasizing the role of urologists in managing atypical genitourinary infections. A 28-year-old homosexual male with HIV developed penile swelling and pustular lesions, confirmed as MPXV infection by PCR. Symptomatic management was initiated, and the patient was referred for tecovirimat therapy under a clinical trial. Mpox lesions often mimic sexually transmitted conditions, leading to diagnostic delays. Limited awareness among healthcare providers compounds these challenges. Urologists must consider Mpox in atypical genital cases, particularly in high-risk populations, to ensure timely diagnosis and treatment.
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Affiliation(s)
| | - Alec Anceno
- Department of Urology, Hospital General Dr. Manuel Gea González, Mexico City, Mexico
| | | | | | | | | | - Carlos D. Silva-Villarreal
- Faculty of Medicine and Biomedical Sciences, Universidad Autónoma de Chihuahua, Circuito Universitario 31109, Campus Uach II, 31125, Chihuahua, Mexico
| | - Alyx A. Garibay-Aponte
- Faculty of Medicine, Universidad Nacional Autónoma de México, Mexico Escolar 411A, Copilco Universidad, Coyoacán, 04360, Mexico City, Mexico
| | - Alicia Valdez-Gaona
- Faculty of Medicine, Universidad Nacional Autónoma de México, Mexico Escolar 411A, Copilco Universidad, Coyoacán, 04360, Mexico City, Mexico
| | - Abigail Granada-Vigueras
- Faculty of Medicine, Universidad Nacional Autónoma de México, Mexico Escolar 411A, Copilco Universidad, Coyoacán, 04360, Mexico City, Mexico
| | - Fernando Fernández Varela-Gómez
- Faculty of Medicine, Universidad Nacional Autónoma de México, Mexico Escolar 411A, Copilco Universidad, Coyoacán, 04360, Mexico City, Mexico
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