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Case Reports
. 2022 Nov 26;2022(11):rjac533.
doi: 10.1093/jscr/rjac533. eCollection 2022 Nov.

Paraphimosis as a complication of monkeypox infection

Arun Umesh Mahtani  1 , Yolande Mbome Engome  1 , Muhammad Haider  1 , Thu Minh Vu  1 , Crystal Delp  1 , Edip Cemil Katayifci  1 , Muzhafar Surahio  1 , Ambreen Khalil  2 , Azza Elemam  2
Affiliations
Case Reports

Paraphimosis as a complication of monkeypox infection

Arun Umesh Mahtani et al. J Surg Case Rep. .

Abstract

We discuss a case report of a 38-year-old uncircumcised male on pre-exposure prophylaxis for human immunodeficiency virus who presents to the emergency department for painful lesions over his penile region following unprotected sexual intercourse. Following the development of these lesions he developed painless, itchy pustules over his bilateral arms and back. He also had extensive pain and swelling over his penile region, which prevented him from unretracting his foreskin. Chlamydia trachomatis, Herpes simplex virus, Neisseria gonorrhoeae, and syphilis tests were negative. He was positive for orthopoxvirus using polymerase chain reaction. A diagnosis of paraphimosis as a complication of monkeypox infection was made.

Keywords: emerging; genital diseases; infectious disease; male; monkeypox virus; paraphimosis.

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Figures

Figure 1
Figure 1
Multiple central umbilicated lesions over the forearm.
Figure 2
Figure 2
A closer view of the central umbilicated lesion.
Figure 3
Figure 3
Edema around foreskin leading to paraphimosis.
See this image and copyright information in PMC

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