Atypical presentation of sexually-transmitted monkeypox lesions
Óscar Guillermo Pérez-Martín1, Ana Hernández-Aceituno1,2, María Mercedes Dorta-Espiñeira3
1Epidemiology and Prevention Service, General Directorate of Public Health, Spain.
Infectious Diseases (London, England)
|September 14, 2022
Summary
This study details an unusual monkeypox (MPX) case where skin lesions appeared simultaneously in three stages of evolution in one location. Physicians should recognize this atypical presentation for prompt diagnosis and management of MPX.
Area of Science:
- Dermatology
- Infectious Diseases
- Virology
Background:
- Monkeypox (MPX) typically presents with monomorphic exanthema and centrifugal distribution.
- Lesions often appear at different sequential stages across various body regions.
Observation:
- A 40-year-old male presented with an atypical MPX clinical manifestation.
- Skin lesions erupted on the penis one week after high-risk sexual contact.
- Over 10 days, new lesions evolved concurrently through vesicular, pustular, and crusting stages in the same area.
Findings:
- The patient exhibited simultaneous evolution of MPX lesions at three distinct stages within a single anatomical location.
- This presentation deviates from the characteristic sequential progression typically observed in monkeypox.
Implications:
- Clinicians must be vigilant for atypical initial presentations of monkeypox.
- Awareness of varied lesion evolution is crucial for accurate diagnosis.
- Comprehensive epidemiological surveys are essential for managing MPX outbreaks.
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