McNaughton Andrew, Karsenti Nessika, Kwan Jason, Adawi Asal, Mansuri Saniya, Boggild Andrea K
Department of Medicine, University of Ottawa, Ottawa, ON K1H 8M5, Canada.
Department of Medicine, Memorial University, Saint John's, NF A1B 3V6, Canada.
Infect Dis Rep. 2024 Jul 19;16(4):628-637. doi: 10.3390/idr16040048.
We describe a case of an immunocompetent adult male patient originally from the Democratic Republic of Congo (DRC), who was referred to our unit for a several-day history of fever and a pruritic, vesicular rash. There was initial concern in the Emergency Department for Mpox (formerly known as "monkeypox") given the current epidemiology versus other viral etiologies. Primary varicella zoster virus (pVZV) infection was ultimately diagnosed by PCR from a swabbed, unroofed lesion, and he recovered completely with supportive management and without antiviral therapy. We herein describe how common viral exanthems may best be differentiated in an emergency or outpatient setting.
我们描述了一例免疫功能正常的成年男性患者，他来自刚果民主共和国（DRC），因发热、瘙痒性水疱皮疹数天的病史被转诊至我们科室。鉴于当前的流行病学情况与其他病毒病因相比，急诊科最初担心是猴痘（以前称为“猴天花”）。最终通过对一个擦拭、去除疱顶的皮损进行PCR检测诊断为原发性水痘带状疱疹病毒（pVZV）感染，他通过支持性治疗完全康复，未接受抗病毒治疗。我们在此描述在急诊或门诊环境中如何最好地鉴别常见的病毒疹。
