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Sofie Jørgensen1, Merete Storgaard2, Line Kibsgaard1

  • 1Klinik for Hud- og Kønssygdomme, Aarhus Universitetshospital.

Ugeskrift for Laeger
|February 10, 2023
PubMed
Summary

Mpox, a viral disease, can present with severe perianal pain and skin lesions, mimicking other sexually transmitted infections. Early recognition is crucial for accurate diagnosis and management in clinical settings.

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Area of Science:

  • Dermatology
  • Infectious Diseases
  • Venerology

Background:

  • Mpox (formerly monkeypox) is a viral zoonotic disease that can cause significant morbidity.
  • Differential diagnosis in venerology often includes conditions with similar clinical presentations, such as herpes simplex virus infections.

Observation:

  • A 34-year-old homosexual male presented with severe perianal pain and eroded vesicles.
  • Initial presentation was misdiagnosed as primary herpes infection.
  • Subsequent development of widespread vesicular and papular lesions prompted further investigation.

Findings:

  • The patient tested positive for mpox virus.
  • The clinical presentation highlighted the overlap in symptoms between mpox and other sexually transmitted infections.

Implications:

  • This case underscores the importance of considering mpox in the differential diagnosis of patients presenting with anogenital lesions and pain.
  • Healthcare providers, particularly in venerology clinics, must maintain a high index of suspicion for mpox.
  • Accurate and timely diagnosis of mpox is essential for appropriate patient management and public health control measures.

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