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猴痘性直肠炎:一例使用特考韦瑞进行靶向治疗的病例

Monkeypox Proctitis: A Case of Targeted Treatment With Tecovirimat.

作者信息

Patel Premalkumar, Espinosa Cynthia, Konyala Varsha, Camps Nicholas S, Cecilio Estafenia, Jain Aakangsha, Tuda Claudio

机构信息

Infectious Disease, Mount Sinai Medical Center, Miami Beach, USA.

Internal Medicine, Mount Sinai Medical Center, Miami Beach, USA.

出版信息

Cureus. 2023 Mar 16;15(3):e36238. doi: 10.7759/cureus.36238. eCollection 2023 Mar.

Abstract

Monkeypox (MPX) is an exanthematous disease first identified in the 1950s, associated with animals in Central and Western Africa, and has since been found sporadically worldwide. In May 2022, a returning family from Nigeria tested positive for MPX, which marked the onset of the current outbreak.It has now become a disease of concern in most parts of the world. The current standings are nearing 90,000 cases, with numbers increasing daily. The United States reported 29,711 cases so far.The characteristic exanthem of MPX is known to be present ubiquitously on the human habitus, with recent reports describing anogenital and mucosal lesions. Here, we present a rare case of a 43-year-old male presenting with excruciating perianal pain and purulent discharge, found to have proctitis secondary to MPX, and subsequently treated with Tecovirimat, a targeted antiviral therapy.

摘要

猴痘(MPX)是一种在20世纪50年代首次被发现的发疹性疾病,与中非和西非的动物有关,此后在全球各地零星出现。2022年5月,一名从尼日利亚回国的家庭成员猴痘检测呈阳性,这标志着当前疫情的开始。现在它已成为世界上大多数地区关注的一种疾病。目前的病例数已接近9万例,且每天都在增加。美国迄今报告了29711例病例。已知猴痘的特征性皮疹普遍存在于人体上,最近有报告描述了肛门生殖器和黏膜病变。在此,我们报告一例罕见病例,一名43岁男性因肛周剧痛和脓性分泌物就诊,被发现患有继发于猴痘的直肠炎,随后接受了靶向抗病毒药物特考韦瑞治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5599/10103794/94aa4cc2749d/cureus-0015-00000036238-i01.jpg

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