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首例将包茎嵌顿作为猴痘严重并发症的病例。

First Case of Paraphimosis as a Severe Complication of Monkeypox.

作者信息

Milano Eugenio, Belati Alessandra, De Santis Laura, Tanese Flavio, Vavallo Antonio, Dachille Giuseppe, Loconsole Daniela, Bavaro Davide Fiore, Di Gennaro Francesco, Chironna Maria, Ditonno Pasquale, Saracino Annalisa

机构信息

Clinic of Infectious Diseases, University of Bari, 70124 Bari, Italy.

Urology, Andrology and Kidney Transplantation Unit, Department of Emergency and Organ Transplantation, University of Bari, 70124 Bari, Italy.

出版信息

Vaccines (Basel). 2022 Dec 28;11(1):63. doi: 10.3390/vaccines11010063.

Abstract

Since May 2022, the monkeypox (MPX) virus has represented an emerging issue due to outbreaks in non-endemic areas. This report presents the first case of paraphimosis caused by an MPX infection during the outbreak. The patient accessed the emergency department for a sudden onset of swelling of the penis and paraphimosis caused by MPX lesions that brought about stenosis of the foreskin. He therefore underwent a dorsal slit procedure with resolution. No antiviral therapy was required. A multidisciplinary approach should be preferred for the management of MPX, due to the possibility of uncommon and disseminated presentations.

摘要

自2022年5月以来,由于在非流行地区爆发,猴痘(MPX)病毒已成为一个新出现的问题。本报告介绍了在此次疫情期间首例由MPX感染引起的包皮嵌顿病例。该患者因MPX病变导致包皮狭窄,阴茎突然肿胀并出现包皮嵌顿,前往急诊科就诊。因此,他接受了背侧切开手术,症状得到缓解。无需进行抗病毒治疗。由于可能出现不常见的播散性表现,对于MPX的管理应优先采用多学科方法。

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