Thread by @guerreroespejo

A 27-YO ♂️ with #HIV & #syphilis, condomless receptive & insertive vaginal, anal, & oral intercourse with male & female partners: a diffuse, erythematous, macular rash (involved the palms) & umbilicated, pustular lesions on face, arms (A), legs, trunk (B, flank) & neck (C)
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PCR swabbed lesions:➕for #monkeypox

MONKEYPOX in a sexually-active man with HIV and SYPHILIS

He was started on antiretroviral therapy for his recent diagnosis of HIV, & administered IM benzathine penicillin G for syphilis.
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doi.org/10.1016/j.visj…
#IDtwitter #dermatology

As direct contact is the primary mode of transmission, sexual intimacy has been identified as a risk factor for #Mpox, and a high proportion of the current multinational outbreak has been in men who have sex with men.
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#MedTwitter #Doctor

Many confirmed cases include patients who are concurrently infected with either human immunodeficiency virus or syphilis.
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#MedStudentTwitter #medicine

Patient counseling is important as the disease can be spread from person to person from the time of symptom onset until the rash is fully healed, which typically takes 2–4 weeks.
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#resident #MedicalStudents

Characteristic rash:
✔️umbilicated pustules or macules that appear on
✔️the genitals or perianal region primarily, but
✔️may also involve other areas such as the trunk, face, extremities, or mouth.

Others symptoms: fever, adenopathy, malaise, headache, etc.
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#MedEd

Typically, monkeypox is a self-limiting disease

The treatment is supportive care but antiviral therapy is available for patients at risk of severe disease.
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#virology #microbiology