Ordoñez-González Irvin, López-Zamora Berenice, Medina Gabriela, Reyes-Navarro Geraldine Vanessa, Navarro Alberto Ordinola, Cruz-Domínguez María Pilar, Vera-Lastra Olga, Saavedra Miguel Ángel
Facultad de Medicina, Universidad Veracruzana, Veracruz.
Escuela Superior de Medicina, Instituto Politécnico Nacional, Mexico City.
Dermatol Reports. 2022 Oct 27;15(2):9591. doi: 10.4081/dr.2022.9591. eCollection 2023 Jun 7.
Monkeypox is a viral zoonosis from the Poxviridae family that spreads at an unprecedented rate. It is transmitted through contact with skin lesions, respiratory droplets, body fluids, and sexual contact. The diverse presentation of the disease leads to misdiagnosis. Thus, clinicians should have a high index of suspicion, mainly with diseases with skin lesions. The most vulnerable group to developing this disease are individuals with risky sexual relationships, sexually transmitted infections, or human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). To date, only one case of coinfection with the monkeypox virus, syphilis, and HIV has been reported; however, no cases have been revealed in the Mexican territory. Herein we describe an unusual case of syphilis-monkeypox coinfection in an immunocompromised patient; despite his coinfection, he had a favorable prognosis. Furthermore, we attach allusive pictures of the natural evolution of dermatological lesions.
猴痘是一种由痘病毒科引起的病毒性人畜共患病，传播速度空前。它通过接触皮肤损伤、呼吸道飞沫、体液和性接触传播。该疾病的多样表现导致误诊。因此，临床医生应保持高度怀疑，主要针对有皮肤损伤的疾病。最易感染此病的人群是有危险性行为、性传播感染或感染人类免疫缺陷病毒/获得性免疫缺陷综合征（HIV/AIDS）的个体。迄今为止，仅报告了一例猴痘病毒、梅毒和HIV合并感染的病例；然而，墨西哥境内尚未发现此类病例。在此，我们描述了一例免疫功能低下患者发生梅毒 - 猴痘合并感染的罕见病例；尽管他合并感染，但预后良好。此外，我们附上了皮肤病损自然演变的相关图片。
