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. 2023 Feb 8;76(3):528-530.
doi: 10.1093/cid/ciac737.

Mpox Presenting as Proctitis in Men Who Have Sex With Men

Michal Yakubovsky  1   2 , David Shasha  1   2 , Shelley Reich  1   2 , Luba Tau  1   2 , Nadav Friedel  1   3 , Ora Halutz  4 , Michal Dekel  1   2 , Suzy Meijer  1   2 , Ronen Ben-Ami  1   2 , Yael Paran  1   2
Affiliations

Mpox Presenting as Proctitis in Men Who Have Sex With Men

Michal Yakubovsky et al. Clin Infect Dis. .

Abstract

In our cohort of 70 patients of men who have sex with men (MSM) with mpox, more than one-third presented with proctitis. In two-thirds of proctitis patients, there was no typical rash upon presentation, and in one-fifth, there was no rash at all, making the diagnosis a challenge. A rectal swab for mpox polymerase chain reaction (PCR) can be diagnostic.

Keywords: mpox; proctitis; rectal swab; sexually transmitted infection.

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Conflict of interest statement

Potential conflicts of interest. R. B. A. reports payment or honoraria for lectures, presentations, speakers’ bureaus, manuscript writing, or educational events from Gilead and Teval; and participation on a Data Safety Monitoring Board or Advisory Board for Pfizer. All other authors report no potential conflicts. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.