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Case Reports
. 2022 Jun;27(22):2200411.
doi: 10.2807/1560-7917.ES.2022.27.22.2200411.

Monkeypox infection presenting as genital rash, Australia, May 2022

Yael Hammerschlag  1 , Gina MacLeod  1 , Georgina Papadakis  2 , Asiel Adan Sanchez  3 , Julian Druce  2 , George Taiaroa  4 , Ivana Savic  2 , Jamie Mumford  2 , Jason Roberts  2 , Leon Caly  2   4 , Deborah Friedman  5 , Deborah A Williamson  2   4 , Allen C Cheng  1 , James H McMahon  1   6
Affiliations
Case Reports

Monkeypox infection presenting as genital rash, Australia, May 2022

Yael Hammerschlag et al. Euro Surveill. 2022 Jun.

Abstract

Rapid diagnosis and whole genome sequencing confirmed a case of monkeypox in an HIV-positive individual receiving antiretroviral therapy. The patient had a normal CD4+ T-cell count and suppressed HIV viral load and presented with a genital rash in Melbourne, Australia after return from Europe in May 2022. He subsequently developed systemic illness and disseminated rash and 11 days after symptom onset, he was hospitalised to manage painful bacterial cellulitis of the genital area.

Keywords: HIV infection; imported viral diseases; monkeypox; viral infections.

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Conflict of interest statement

Conflict of interest: None declared.

Figures

Figure 1
Figure 1
Timeline of exposure and symptoms of monkeypox case imported to Australia from Europe, May 2022
Figure 2
Figure 2
Monkeypox lesions at hospitalisation on day 11 post symptom onset of monkeypox case imported to Australia from Europe, May 2022
Figure 3
Figure 3
Whole genome sequencing and phylogenetic analysis of monkeypox viruses of the West African clade shows distinct clustering of MPXV-VIDRL01 imported from Europe to Australia with other global outbreak sequences, May 2022
Figure 4
Figure 4
Electron micrograph of pox-like virus particles from thin sections in infected Vero/hSLAM cells of monkeypox case imported to Australia from Europe, May 2022
See this image and copyright information in PMC

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