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Monkeypox presenting as a chancre-like rash: A case report
Wei-Fang Zhu1, Shu-Juan Song2, Lin-Wei Wei1
1Division of Dermatology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China.
World Journal of Clinical Cases
|September 20, 2023
Summary
Monkeypox is emerging in China, with cases presenting like chancres. Early diagnosis requires considering exposure history, symptoms, and nucleic acid tests for effective management of this infectious disease.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Background:
- Global monkeypox outbreaks reported since May 2022.
- Increasing number of monkeypox cases identified in China.
- Understanding the epidemiology of emerging infectious diseases is crucial.
Observation:
- A 38-year-old male presented with a chancre-like ulcer and inguinal lymphadenopathy.
- Symptoms included fever and a rash, with a history of male-male sexual activity.
- Monkeypox virus confirmed via quantitative polymerase chain reaction from rash and throat swab samples.
Findings:
- The case highlights monkeypox presenting as a chancre-like lesion.
- Differential diagnosis is critical as symptoms can be easily mistaken for other conditions.
- Nucleic acid testing is a key diagnostic tool.
Implications:
- Monkeypox is an emerging infectious threat in China.
- Timely diagnosis based on clinical presentation and testing is essential.
- Public health strategies must adapt to the evolving landscape of infectious diseases.
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