Silva-Mendoza César A, Anceno Alec, Magdaleno-Rodríguez Daniel R, Alvarado-Bahena Pedro A, Miranda-Blasnich Héctor A, Ascencio-Martínez Marco A, Silva-Villarreal Carlos D, Garibay-Aponte Alyx A, Valdez-Gaona Alicia, Granada-Vigueras Abigail, Fernández Varela-Gómez Fernando, Morales-Montor Jorge G
Department of Urology, Hospital General Dr. Manuel Gea González, Mexico City, Mexico.
Faculty of Medicine and Biomedical Sciences, Universidad Autónoma de Chihuahua, Circuito Universitario 31109, Campus Uach II, 31125, Chihuahua, Mexico.
Urol Case Rep. 2025 Mar 6;60:103006. doi: 10.1016/j.eucr.2025.103006. eCollection 2025 May.
This case is the first documented instance of genitourinary monkeypox (Mpox) diagnosed by a urology service in Mexico, emphasizing the role of urologists in managing atypical genitourinary infections. A 28-year-old homosexual male with HIV developed penile swelling and pustular lesions, confirmed as MPXV infection by PCR. Symptomatic management was initiated, and the patient was referred for tecovirimat therapy under a clinical trial. Mpox lesions often mimic sexually transmitted conditions, leading to diagnostic delays. Limited awareness among healthcare providers compounds these challenges. Urologists must consider Mpox in atypical genital cases, particularly in high-risk populations, to ensure timely diagnosis and treatment.
该病例是墨西哥泌尿外科确诊的首例有记录的泌尿生殖系统猴痘（Mpox）病例，强调了泌尿外科医生在管理非典型泌尿生殖系统感染中的作用。一名28岁感染HIV的同性恋男性出现阴茎肿胀和脓疱性病变，经聚合酶链反应（PCR）确诊为猴痘病毒（MPXV）感染。开始了对症治疗，并根据一项临床试验将该患者转诊接受tecovirimat治疗。猴痘病变常类似性传播疾病，导致诊断延误。医疗服务提供者认识不足加剧了这些挑战。泌尿外科医生在非典型生殖器病例中，尤其是高危人群中，必须考虑到猴痘，以确保及时诊断和治疗。
