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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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Pattnaik H, Surani S, Goyal L, Kashyap R. Making Sense of Monkeypox: A Comparison of Other Poxviruses to the Monkeypox. Cureus 2023; 15:e38083. [PMID: 37252521 PMCID: PMC10212748 DOI: 10.7759/cureus.38083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/23/2023] [Indexed: 05/31/2023] Open
Abstract
The current monkeypox (MPX) outbreak has been declared a public health emergency of international concern (PHEIC) by the World Health Organization (WHO). It is a zoonotic disease that has persisted in the African basin for decades but suddenly exploded into the international sphere this year. In this paper, we provide a comprehensive overview of monkeypox, including a hypothesis of the rapid spread of the virus, its epidemiology and clinical features, a comparison with other orthopoxviruses such as chickenpox and smallpox, past and present outbreaks, and strategies for its prevention and treatment.
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Affiliation(s)
- Harsha Pattnaik
- Medicine, Lady Hardinge Medical College, University of Delhi, New Delhi, IND
| | - Salim Surani
- Anesthesiology, Mayo Clinic, Rochester, USA
- Medicine, Texas A&M University, College Station, USA
- Medicine, University of North Texas, Dallas, USA
- Internal Medicine, Pulmonary Associates, Corpus Christi, USA
- Clinical Medicine, University of Houston, Houston, USA
| | - Lokesh Goyal
- Hospital Medicine, Christus Spohn Hospital, Corpus Christi, USA
| | - Rahul Kashyap
- Global Clinical Scholars Research Training (GCSRT), Harvard Medical School, Boston, USA
- Research, Global Remote Research Program, St. Paul, USA
- Critical Care Medicine, Mayo Clinic, Rochester, USA
- Research, WellSpan Health, York, USA
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