Bui Ian Thien, Sloan Benjamin, Tribble Marc, Moore Angela Yen
Texas A&M School of Medicine, College Station, Texas.
Baylor University Medical Center, Dallas, Texas.
Proc (Bayl Univ Med Cent). 2023 Apr 3;36(4):510-513. doi: 10.1080/08998280.2023.2193130. eCollection 2023.
Mpox (formerly monkeypox) is a viral illness endemic in certain parts of the world such as Africa. Travel to these endemic areas has increased outbreaks in regions typically unaffected by this poxvirus. Mpox infection is characterized by prodromal symptoms including fever, chills, and lymphadenopathy, followed by a vesiculopustular exanthem. Genital lesions are common especially in vulnerable populations, such as those who engage in high-risk sexual behaviors. We report a 50-year-old man living with HIV who presented for evaluation of multiple painless genital lesions and later tested positive for both mpox and syphilis. With recent outbreaks, clinicians should evaluate genital lesions with a broad sexually transmitted infection differential. Rapid diagnosis and treatment are imperative to prevent more severe disease progression in immunocompromised patients.
猴痘（原称猴天花）是一种在世界某些地区（如非洲）流行的病毒性疾病。前往这些流行地区导致在通常不受这种痘病毒影响的地区出现疫情暴发。猴痘感染的特征是前驱症状，包括发热、寒战和淋巴结病，随后出现水疱脓疱性皮疹。生殖器病变很常见，尤其是在易感染人群中，例如那些有高危性行为的人。我们报告了一名50岁的艾滋病毒感染者，他因多处无痛性生殖器病变前来评估，后来猴痘和梅毒检测均呈阳性。鉴于近期的疫情暴发，临床医生应通过广泛的性传播感染鉴别诊断来评估生殖器病变。快速诊断和治疗对于预防免疫功能低下患者病情进一步严重发展至关重要。
