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Case Reports
. 2023 Aug;71(Suppl 1):50-52.
doi: 10.1007/s00106-023-01283-0. Epub 2023 Jun 12.

Odynophagia as the first symptom of monkeypox infection

Nadja Schröder  1   2 , Juliane Buth  3 , Ingo Drexler  4 , Ortwin Adams  4 , Inga Tometten  4 , Maximilian Seidl  3 , Christian Rubbert  5 , Jörg Schipper  6 , Julia Kristin  6
Affiliations
Case Reports

Odynophagia as the first symptom of monkeypox infection

Nadja Schröder et al. HNO. 2023 Aug.

Abstract

A 50-year-old patient with confirmed monkeypox infection presented with odynophagia and nocturnal dyspnea. Clinically, there was a lesion on the tongue without any skin lesions and fibrinous plaques on the right tonsil with asymmetry of the palatoglossal arch. Due to a suggested abscess in the CT scan, a tonsillectomy à chaud was performed. By pan-orthopox-specific polymerase chain reaction (PCR) the monkeypox infection was also confirmed in the tonsil tissue. Isolated oral findings may represent a monkeypox infection and should be considered as a currently important differential diagnosis, especially for patients at risks.

Keywords: Lymphadenopathy; Oral lesion; Orthopoxvirus; Tonsillectomy; Tonsillitis.

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