Thread by @guerreroespejo

A 26-YO♂️ no #sexual contacts other than with his male partner: 6-day of fever, malaise, a swollen parotid gland, & ulcerative lesion on the ipsilateral lower lip.

Mild lymphopenia
⬆️GGT & CRP

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doi.org/10.1016/S0140-…
#IDtwitter #dermatology #EarNoseThroat

PCRs on the throat & ulcer swabs:➕for human #monkeypox (hMPX)
Genomic sequencing: clade IIb variant clustering within the current international mpox virus outbreak

PAROTIDITIS CAUSED BY hMPX virus

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#sexually #maxillofacial #microbiology

7 days after initial presentation, his clinical condition had improved together with a decrease in the parotid swelling and the size of the ulcer.
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#MedTwitter #Doctor #MedStudentTwitter

Parotitis is mostly caused by a viral infection—most often mumps.

Other viral causes include: HIV, enteroviruses, Epstein-Barr Virus, influenza, parainfluenza, and cytomegalovirus.
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#resident #medicine #MedicalStudents

Acute bacterial parotitis mostly occurs in neonates, or in elderly, or debilitated people.

Non-infectious disorders associated with parotid swelling include sialolithiasis, diabetes, sarcoidosis, collagen vascular disease, cystic fibrosis, and tumours.
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#MedEd #bacteriology

This is the first described case of parotitis caused by hMPX virus

Oral lesions are found in many cases of mpox & may present with lesions that transform from vesicles to pustules, including umbilication and crusting, within 1 to 4 weeks
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doi.org/10.1016/S0140-…
#primarycare