Mpox (monkeypox) causing penile lesions and acute urinary retention

This is the first ever reported case of mpox (monkeypox) causing penile lesions and acute urinary retention (AUR) in a homosexual man, who had intercourse with his confirmed positive mpox (monkeypox) partner. The patient did not have any significant comorbidities and was managed conservatively with...

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Bibliographic Details
Published in:BMJ case reports 2022-12, Vol.15 (12), p.e252696
Main Authors: Hackett, Natalia, Narayan, Prabhat, Huf, Simon
Format: Article
Language:English
Subjects:
Case reports
Catheters
Epidemics
Epidemiology
Humans
Illnesses
Infections
Influenza
Male
Mpox
Mpox (monkeypox) - complications
Outpatients
Penicillin
Penis
Prostatic Hyperplasia
Public health
Sexual health
Sexually transmitted diseases
Skin
Smallpox
STD
Urinary retention
Urinary Retention - etiology
Urinary Retention - therapy
Urology
Vaccines
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Summary:This is the first ever reported case of mpox (monkeypox) causing penile lesions and acute urinary retention (AUR) in a homosexual man, who had intercourse with his confirmed positive mpox (monkeypox) partner. The patient did not have any significant comorbidities and was managed conservatively with an urgent urethral catheter and co-amoxiclav as per the microbiologist's advice to cover for his skin soft tissue infection (SSI). His blood parameters, urine and blood cultures were all normal. He was successfully trialled without a catheter (TWOCd) in a few days and was discharged home with an outpatient follow-up plan in Andrology Clinic with a flow rate, postvoid residual (PVR), International Prostate Symptoms Score (IPSS) and pain score. He was also planned to be contacted by the sexual health team to ensure a holistic follow-up.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2022-252696