Farley Remington, Sarver Jordan, Milliner Brittany, Miller Brandi D
Detroit Medical Center Urology Residency, Harper Professional Building 4160 John R St. Suite 1017, Detroit, MI, 48201, United States.
Urol Case Rep. 2023 Jul;49:102438. doi: 10.1016/j.eucr.2023.102438. Epub 2023 May 14.
Mpox is a zoonotic viral disease transmitted by close contact with infected individuals, contacting or eating infected animals, and now, sexual contact. The main treatment option for infected individuals is supportive care as no FDA-approved treatment exists.
A 33-year-old male with HIV who contracted Mpox who developed a large painful genital ulcer with overlying eschar. He required surgical debridement of the penile ulcer followed by scrotoplasty.
While local wound care plus antibiotics may be effective at managing some genital lesions, Urologists should consider surgical debridement with delayed reconstruction for progressive, non-healing wounds in these individuals.
猴痘是一种人畜共患的病毒性疾病,可通过与感染者密切接触、接触或食用受感染动物以及现在的性接触传播。由于没有获得美国食品药品监督管理局批准的治疗方法,对感染者的主要治疗选择是支持性护理。
一名33岁感染艾滋病毒的男性感染了猴痘,出现了一个伴有痂皮的大的疼痛性生殖器溃疡。他需要对阴茎溃疡进行手术清创,随后进行阴囊成形术。
虽然局部伤口护理加抗生素可能对处理一些生殖器病变有效,但泌尿外科医生应考虑对这些患者中进展性、不愈合的伤口进行手术清创并延迟重建。