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Vaccinia Virus Infection & Temporal Analysis of Virus Gene Expression: Part 1
Published on: April 8, 2009
Mpox (Monkeypox) Presenting as Cervical and Vulvar Disease
Mar Ramírez1, Vanesa Delso, María J Sánchez
1Gynaecology Oncology Unit, Institute of Women's Health José Botella Llusiá, Sanitary Research Institute of the San Carlos Clinical Hospital (IdISSC), School of Medicine, Complutense University, Institute of Women's Health José Botella Llusiá, San Carlos Clinical Hospital, Hospital Clínico San Carlos, Internal Medicine-Infectious Diseases, IdISSC, CIBERINFEC, Unidad Docente Centro-Gerencia Atención Primaria, and Hospital Clínico San Carlos, Anatomic Pathology, Madrid, Spain.
Background:
Since the beginning of the current mpox (formerly "monkeypox") outbreak in May 2022, 23,465 confirmed cases of monkeypox virus infection have been reported in Europe; women represent less than 1% of these cases. Mpox lesions are found with greater frequency in the genital area, and, in women, have been described primarily in the vulva.
Case:
We present a case of monkeypox virus infection in a 28-year-old woman confirmed by polymerase chain reaction testing, in which the only clinical manifestation was the appearance of concomitant lesions in the cervix and the vulva, with no other clinical features. No other sexual transmitted diseases were found. The lesions disappeared spontaneously in 2 weeks.
Conclusion:
Mpox lesions can affect the cervix; thus, recognition by gynecologists is important. Given the current epidemic outbreak, correct identification is essential to help control disease transmission.
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