Thread by @guerreroespejo

A 38-YO♂️, #HIV➕: asthenia, fever, & generalized & confluent maculopapular rash predominantly on the back, cervical & inguinal lymphadenopathies, & stippled petechial hemorrhages in the soft palate (Forchheimer’s spots)
Subsequently, pustules appeared

1/5
#emergency #IDtwitter

Classic Mpox pustules appeared
PCR:
✔️for measles & rubella➖
✔️for Mpox➕

HUMAN Mpox, although confluent maculopapular rash & Forchheimer’s spots have been reported as classic signs of rubella or measles infections
2/5

DOI: doi.org/10.4269/ajtmh.…
#microbiology #MedTwitter

Forchheimer spots, a type of enanthem:
📌sometimes precede the skin rash of rubella.
📌tiny red spots on the soft palate in rubella, measles and scarlet fever.
3/5

#dermatology #internalmedicine #primarycare

Classic features of mpox (formerly monkeypox) include macules, papules, umbilicated vesicles with a necrotic center, as well as pustular & crusting lesions.

Since May 2022, cases have been reported in countries where the disease was not endemic
4/5

#healthcare #virology

Although confluent maculopapular rash & Forchheimer's spots have been reported as classic signs of rubella or measles infections, this sexually transmitted disease in previously non-endemic areas could be a "great imitator" like syphilis.
5/5

DOI: doi.org/10.4269/ajtmh.… #MedEd