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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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Published in: | BMJ case reports 2022-12, Vol.15 (12), p.e252696 |
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description | 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. |
doi_str_mv | 10.1136/bcr-2022-252696 |
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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.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2022-252696</identifier><identifier>PMID: 36517078</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Case reports ; Case Reports: Unusual association of diseases/symptoms ; 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</subject><ispartof>BMJ case reports, 2022-12, Vol.15 (12), p.e252696</ispartof><rights>BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2023 BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.This article is made freely available to access and read on the journal website in accordance with BMJ's website terms and conditions for the duration of the monkeypox emergency or until otherwise determined by BMJ. You may download and print the article for personal or non-commercial use provided all copyright notices and trademarks are retained. If you wish to reuse any or all of this article please use the request permissions link.</rights><rights>BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c375t-d920676189fbe5f6ad1236281c1a7d0ebe765aca05ef52007a759de64a0cad623</cites><orcidid>0000-0002-3523-5219</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9756176/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9756176/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36517078$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hackett, Natalia</creatorcontrib><creatorcontrib>Narayan, Prabhat</creatorcontrib><creatorcontrib>Huf, Simon</creatorcontrib><title>Mpox (monkeypox) causing penile lesions and acute urinary retention</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>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.</description><subject>Case reports</subject><subject>Case Reports: Unusual association of diseases/symptoms</subject><subject>Catheters</subject><subject>Epidemics</subject><subject>Epidemiology</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Infections</subject><subject>Influenza</subject><subject>Male</subject><subject>Mpox</subject><subject>Mpox, Monkeypox - complications</subject><subject>Outpatients</subject><subject>Penicillin</subject><subject>Penis</subject><subject>Prostatic Hyperplasia</subject><subject>Public health</subject><subject>Sexual health</subject><subject>Sexually transmitted diseases</subject><subject>Skin</subject><subject>Smallpox</subject><subject>STD</subject><subject>Urinary retention</subject><subject>Urinary Retention - etiology</subject><subject>Urinary Retention - therapy</subject><subject>Urology</subject><subject>Vaccines</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNpdkU1PwzAMhiMEYtPYmRuqxGUcypK0SdoLEpr4koa4gMQtSlN3dHTJSFrE_j0ZG9PAl1jy69d2HoROCb4kJOHjQruYYkpjyijP-QHqE8FELHL8eriX99DQ-zkOkZA0S5Nj1Es4IwKLrI8mj0v7FY0W1rzDKqQXkVadr80sWoKpG4ga8LU1PlKmjJTuWog6VxvlVpGDFkwbiifoqFKNh-H2HaCX25vnyX08fbp7mFxPY50I1sZlTjEXnGR5VQCruCoJTTjNiCZKlBgKEJwprTCDilGMhRIsL4GnCmtVcpoM0NXGd9kVCyh1mO5UI5euXoR9pFW1_Fsx9Zuc2U-ZC8aJ4MFgtDVw9qMD38pF7TU0jTJgOy-pYGnGMc3Xs87_See2cyac96Ni4R9pHlTjjUo7672DarcMwXLNSAZGcs1IbhiFjrP9G3b6XyLJN4K7jZU</recordid><startdate>20221214</startdate><enddate>20221214</enddate><creator>Hackett, Natalia</creator><creator>Narayan, Prabhat</creator><creator>Huf, Simon</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3523-5219</orcidid></search><sort><creationdate>20221214</creationdate><title>Mpox (monkeypox) causing penile lesions and acute urinary retention</title><author>Hackett, Natalia ; Narayan, Prabhat ; Huf, Simon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-d920676189fbe5f6ad1236281c1a7d0ebe765aca05ef52007a759de64a0cad623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Case reports</topic><topic>Case Reports: Unusual association of diseases/symptoms</topic><topic>Catheters</topic><topic>Epidemics</topic><topic>Epidemiology</topic><topic>Humans</topic><topic>Illnesses</topic><topic>Infections</topic><topic>Influenza</topic><topic>Male</topic><topic>Mpox</topic><topic>Mpox, Monkeypox - complications</topic><topic>Outpatients</topic><topic>Penicillin</topic><topic>Penis</topic><topic>Prostatic Hyperplasia</topic><topic>Public health</topic><topic>Sexual health</topic><topic>Sexually transmitted diseases</topic><topic>Skin</topic><topic>Smallpox</topic><topic>STD</topic><topic>Urinary retention</topic><topic>Urinary Retention - etiology</topic><topic>Urinary Retention - therapy</topic><topic>Urology</topic><topic>Vaccines</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hackett, Natalia</creatorcontrib><creatorcontrib>Narayan, Prabhat</creatorcontrib><creatorcontrib>Huf, Simon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hackett, Natalia</au><au>Narayan, Prabhat</au><au>Huf, Simon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mpox (monkeypox) causing penile lesions and acute urinary retention</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2022-12-14</date><risdate>2022</risdate><volume>15</volume><issue>12</issue><spage>e252696</spage><pages>e252696-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>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.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>36517078</pmid><doi>10.1136/bcr-2022-252696</doi><orcidid>https://orcid.org/0000-0002-3523-5219</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Case reports Case Reports: Unusual association of diseases/symptoms 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 |
title | Mpox (monkeypox) causing penile lesions and acute urinary retention |
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