A severe case of mpox complicated with penile necrosis and keratitis in a patient living with HIV

Of the 47 cases of mpox reported in Romania to date, 22 were diagnosed and treated at our hospital, fourteen of which were young men who have sex with men (MSM), living with HIV. In addition to the multiple pustular and vesicular rash, on hospital admission, clinical exam revealed marked penile oede...

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Bibliographic Details
Published in:Travel medicine and infectious disease 2023-09, Vol.55, p.102646, Article 102646
Main Authors: Oprea, Cristiana, Costescu, Cristiana, Ianache, Irina, Tardei, Gratiela, Florescu, Simin-Aysel
Format: Article
Language:English
Subjects:
Debridement
Edema
HIV
HIV Infections - complications
HIV Infections - drug therapy
Hospitalization
Human immunodeficiency virus
Humans
Immunization
Infections
Infectious diseases
Keratitis - diagnosis
Lesions
Male
Men
Monkeypox
Mpox
Mpox (monkeypox)
Necrosis
Penis
Sexually transmitted diseases
Skin
STD
Travel medicine
Viral infections
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Summary:Of the 47 cases of mpox reported in Romania to date, 22 were diagnosed and treated at our hospital, fourteen of which were young men who have sex with men (MSM), living with HIV. In addition to the multiple pustular and vesicular rash, on hospital admission, clinical exam revealed marked penile oedema and bilateral white tonsillar deposits. The clinical condition was worsening and after 14 days of hospitalization the patient noted loss of visual acuity, predominantly on the left eye, probably through dissemination from the extensive facial lesions, with conjunctival hyperaemia and ulceration of the cornea.
ISSN:1477-8939
1873-0442
DOI:10.1016/j.tmaid.2023.102646