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Sahra S, Villalobos RO, Scott BM, Bowman DJ, Sassine J, Salvaggio M, Drevets DA, Higuita NIA. The diagnostic dilemma for atypical presentation of progressive human Mpox. BMC Infect Dis 2023; 23:850. [PMID: 38053027 DOI: 10.1186/s12879-023-08852-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Accepted: 11/28/2023] [Indexed: 12/07/2023] Open
Abstract
BACKGROUND Human mpox has increasingly been reported worldwide since May 2022, with higher incidence in men who have sex with men (MSM) and persons living with HIV (PLHIV) with presentation typical for generalized macules and papules. CASE PRESENTATION We are describing a case of human mpox, which presented as widespread, atypical round verrucous lesions that went undiagnosed in the community for six months and was treated with antibacterials and antifungals given the similarity to skin manifestations associated with endemic mycoses. CONCLUSIONS Suspicion for human mpox should be high in young MSM and PLHIV who present with rash and mpox should be ruled out earlier.
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Affiliation(s)
- Syeda Sahra
- Section of Infectious Diseases, Department of Internal Medicine, University of Oklahoma Health Sciences Center (OUHSC), Oklahoma City, OK, 73104, USA.
| | - Raul Orozco Villalobos
- Department of Internal Medcine, University of Oklahoma Health Sciences Center (OUHSC), Oklahoma City, OK, 73104, USA
| | - Brian M Scott
- Section of Infectious Diseases, Department of Internal Medicine, University of Oklahoma Health Sciences Center (OUHSC), Oklahoma City, OK, 73104, USA
| | - Deidra J Bowman
- Section of Infectious Diseases, Department of Internal Medicine, University of Oklahoma Health Sciences Center (OUHSC), Oklahoma City, OK, 73104, USA
| | - Joseph Sassine
- Section of Infectious Diseases, Department of Internal Medicine, University of Oklahoma Health Sciences Center (OUHSC), Oklahoma City, OK, 73104, USA
| | - Michelle Salvaggio
- Section of Infectious Diseases, Department of Internal Medicine, University of Oklahoma Health Sciences Center (OUHSC), Oklahoma City, OK, 73104, USA
| | - Douglas A Drevets
- Section of Infectious Diseases, Department of Internal Medicine, University of Oklahoma Health Sciences Center (OUHSC), Oklahoma City, OK, 73104, USA
| | - Nelson Iván Agudelo Higuita
- Section of Infectious Diseases, Department of Internal Medicine, University of Oklahoma Health Sciences Center (OUHSC), Oklahoma City, OK, 73104, USA
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