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Colegio de Medicina Interna de México.

2024, Number 10

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Med Int Mex 2024; 40 (10)

Monkeypox of atypical presentation

Barón JO, Morera R, Hernández M, Arciniegas HS, Jovanny VL

Language: Spanish
References: 19
Page: 712-716
PDF size: 364.20 Kb.


ABSTRACT

Background: Monkeypox is transmitted from animal to human by direct contact with blood, body fluids, skin lesions or mucous membranes of resistant animals; transmission between people occurs through saliva, respiratory secretions or by contact with wound exudate or crusting material and contaminated materials.
Clinical case: A 38-year-old male patient consulted the emergency department due to a clinical picture that began with holocranial headache associated with phonophobia, a painful right cervical mass, odynophagia, and 5 non-pruritic macule-type lesions on the chest and back. Physical examination on admission revealed cryptic tonsils with purulent membranes, displacement of the right anterior pillar, painful cervical lymphadenopathy, predominantly right, and vesicular lesions of cephalocaudal distribution on the face, scalp, trunk, and lower extremities. The study reported positive, confirming the diagnostic suspicion of monkeypox, for which analgesic management was given, achieving an adequate clinical evolution.
Conclusions: This clinical case had an atypical evolution due to the afebrile prodromal phase, cervical lymphadenopathy and the absence of lesions in the genitalia or perianal region.


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