Odynophagia as the first symptom of monkeypox infection
Nadja Schröder1,2, Juliane Buth3, Ingo Drexler4
1Department of Oto-Rhino-Laryngology, Düsseldorf University Hospital, Düsseldorf, Germany. nadja.schroeder@med.uni-duesseldorf.de.
Abstract:
A 50-year-old patient with confirmed monkeypox infection presented with odynophagia and nocturnal dyspnea. Clinically, there was a lesion on the tongue without any skin lesions and fibrinous plaques on the right tonsil with asymmetry of the palatoglossal arch. Due to a suggested abscess in the CT scan, a tonsillectomy à chaud was performed. By pan-orthopox-specific polymerase chain reaction (PCR) the monkeypox infection was also confirmed in the tonsil tissue. Isolated oral findings may represent a monkeypox infection and should be considered as a currently important differential diagnosis, especially for patients at risks.
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