Thread by @guerreroespejo

A 31-YO ♂️, sex with men, HIV treatment, HCV: in 2022, fever, cervical lymph nodes & erythemato-squamous papules, with umbilications & ulcerations, vesicles & pustules, & honey-colored crusts on the face, trunk & limbs including his palms & soles
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#IDtwitter #primarycare

PCR: ➕for MPXVirus.
#HIV viral load of < 40 copies/mL and a CD4 + count of 167 cells/mm3

#MPOX (MONKEYPOX)
2/7

#healthcare #internalmedicine #microbiology
doi.org/10.1016/j.idcr…

Supportive care of Mpox was provided, namely,
✔️beta-lactams due to bacterial superinfection of the lesions,
✔️in addition to analgesia, which was initially administered with NSAIDs and then escalated to opioids.
3/7

#MedTwitter #MedStudentTwitter #dermtwitter

In people living with #HIV, more severe and generalized Mpox cases are expected in patients with greater immunocompromise
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#dermatology #emergency #resident

Monkeypox is the latest reemerging zoonosis worldwide.

Early diagnosis may not significantly influence mortality, but it can certainly prevent wide transmission of this disease
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#medicine #MedicalStudents #MedEd

#Mpox is caused by a DNA virus belonging to the Poxviridae family and Orthopoxvirus genus, which bears a similarity of 96 % with the variola virus (causative agent of smallpox).
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#dermtwitter #internalmedicine #primarycare
doi.org/10.1016/j.idcr…

The clinical presentation in African continent consists of fever, lymphadenopathy, & a papulopustular rash that may affect mucous membranes, palms, & soles
In this case the lesions included to the genital and perianal areas suggesting a sexually transmitted disease
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#emergency