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Monkeypox Presenting as Periorbital Cellulitis: A Case Report.
Unaiza Batool1, Fahad S Siddiqui2, Jessika Sanz3
1Infectious Disease, Alabama College of Osteopathic Medicine, Dothan, USA.
Cureus
|August 27, 2024
Summary
Monkeypox, a viral disease, can present unusually. This case highlights a patient with periorbital cellulitis preceding typical monkeypox rash, emphasizing the need for thorough evaluation.
Area of Science:
- Infectious Diseases
- Virology
- Dermatology
Background:
- Monkeypox virus (MPXV) causes a distinctive rash, often preceded by flu-like symptoms.
- MPXV can affect multiple organ systems beyond the skin, including respiratory and ophthalmologic systems.
- Typical disease progression involves a prodromal phase followed by characteristic cutaneous manifestations.
Observation:
- A unique case of monkeypox infection is presented.
- The patient's initial symptom was periorbital cellulitis, without concurrent characteristic skin findings.
- The source of the monkeypox infection remained unknown.
Findings:
- The patient presented with periorbital cellulitis as the first sign of monkeypox.
- Characteristic monkeypox rash did not appear until after the initial presentation.
- The patient recovered fully without any complications.
Implications:
- This case underscores the variable clinical presentations of monkeypox.
- Early recognition of atypical symptoms like periorbital cellulitis is crucial for timely diagnosis.
- Healthcare providers should maintain a high index of suspicion for monkeypox in patients with unusual presentations.
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