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Monkeypox Presenting with Blepharoconjunctivitis.

Jeffrey Bloom¹, Michael Parise², Omar Saeed¹

¹Kettering Health Dayton Eye Center, Dayton, OH, USA.

Case Reports in Ophthalmology

|November 29, 2023

Summary

This summary is machine-generated.

Monkeypox (MPX) can cause unique facial and eye symptoms, even in individuals with HIV. Early diagnosis and treatment, including antivirals like tecovirimat, are crucial for managing MPX ocular manifestations.

Keywords:

Case report Conjunctivitis Eye discharge Monkeypox

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Area of Science:

Ophthalmology
Infectious Diseases
Dermatology

Background:

The 2022 resurgence of Monkeypox (MPX) necessitates understanding its varied clinical presentations.
Co-infection with HIV and gonorrhea can complicate MPX diagnosis and management.

Observation:

A 38-year-old male with HIV and gonorrhea presented with facial lesions and blepharoconjunctivitis.
Skin lesions tested positive for Monkeypox (MPX) via PCR.

Findings:

Ocular symptoms, including blepharoconjunctivitis, were observed.
The patient's condition improved within 3 weeks with a combination of acyclovir, azithromycin, gemifloxacin, and tecovirimat.

Implications:

This case highlights the importance of considering MPX in patients with atypical facial and ocular findings.
Ophthalmologists should include MPX in their differential diagnosis for blepharoconjunctivitis, especially during outbreaks.
Further research into MPX ocular manifestations and treatment is warranted.