Thread by @guerreroespejo

A👨, HIV + (CD4 = 25 cells/mm3): rash on arms, hands, chest, & buttocks compatible with #monkeypox
Ocular: redness, pain, itching, swelling, discharge, photosensitivity, & vision changes

Unilateral conjunctivitis, ulcer, & keratitis (fig.)
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#ophthalmology #IDtwitter

A PCR swab of the conjunctival lesion:➕for Orthopoxvirus

OCULAR #MONKEYPOX
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DOI: dx.doi.org/10.15585/mmwr.…
#eye #ojo #oftalmologia

Patients with #monkeypox can experience serious ocular complications:
5 consecutive patients with ocular monkeypox, have experienced delays in treatment, prolonged illness, hospitalization, & vision impairment.
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DOI: dx.doi.org/10.15585/mmwr.… #MedEd #MedTwitter

Health care providers and public health practitioners should be aware that ocular #monkeypox, although rare, is a sight-threatening condition.
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#MedStudentTwitter #MedicalStudent

Urgent referral for ophthalmologic evaluation & prompt antiviral therapy should be considered for patients with #monkeypox & ocular signs or symptoms (e.g., vision changes or eye pain, itching, redness, swelling, or foreign body sensation) or lesions near the eye.
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#resident

To decrease the risk for autoinoculation, persons with #monkeypox should be advised to practice hand hygiene and to avoid touching their eyes, which includes refraining from using contact lenses
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#medicine

Urgent ophthalmologic evaluation and the provision of timely medical countermeasures for patients with suspected or confirmed ocular #monkeypox might help prevent poor outcomes.
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#Doctor

Clinicians should consider initiation of prompt systemic antiviral therapy as well as topical trifluridine for patients with ocular #monkeypox
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#IDtwitter #microbiology