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Colegio de Medicina Interna de México.

2024, Number 05

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Med Int Mex 2024; 40 (05)

Acute rectal bleeding as a complication of monkeypox

Martínez MDG, Espinoza AA

Language: Spanish
References: 8
Page: 315-319
PDF size: 328.04 Kb.


ABSTRACT

Background: Monkeypox is an emerging disease that can range from a mild condition to serious complications, which have not been fully described.
Clinical case: A 32-year-old male patient, with HIV, who presented with monkeypox and abundant sudden-onset rectal bleeding and hypovolemic shock, six days after the onset of skin lesions. Colonoscopy showed a bleeding ulcer in the internal anal margin, despite this, the histopathological findings were inflammatory infiltrates and granulation tissue formation.
Conclusions: The monkeypox virus seems to have a variable behavior, being more serious in people with immunocompromise; however, some symptoms can alert us to possible complications for timely intervention.


REFERENCES

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  2. CDC. Clinical recognition. Centers for Disease Control andPrevention. 2022. https://www.cdc.gov/poxvirus/monkeypox/clinicians/clinical-recognition.html

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  7. Pfäfflin F, Wendisch D, Scherer R, et al. Monkeypox pacienteshospitalizados con dolor anal intenso. Infección2022. https://doi-org.pbidi.unam.mx:2443/10.1007/s15010-022-01896-7

  8. Tarín-Vicente EJ, Alemany A, Agud-Dios M, Ubals M, et al.Clinical presentation and virological assessment of confirmedhuman monkeypox virus cases in Spain: a prospectiveobservational cohort study. Lancet 2022; 400 (10353):661-669. https://doi.org/10.1016/S0140-6736(22)01436-2




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