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KMID : 1144320230550010128
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감염과 화학요법
2023 Volume.55 No. 1 p.128 ~ p.132
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A Case of Human Mpox with Isolated Perianal Ulcers Development in Convalescent Phase
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Yim Hong-Soon
Um Ji-Hye
Kim Hyang-Su
Jeon Jae-Hyun
Kim Jin-Seok
Choi Jae-Phil
Kim Min-Kyung
Kim Yeon-Jae
Park Jun-Sun
Chin Bum-Sik
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Abstract
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A 35-year-old man who returned from Germany developed fever, generalized pain, severe anal pain, and generalized skin rash, confirmed to be monkeypox (mpox). While he was previously confirmed to be human immunodeficiency virus infected, antiretroviral therapy ensured his immunocompetence. The mpox-related prodromal symptoms disappeared before isolation, and subsequent several vesicular skin lesions healed after admission. While moderate anal pain persisted for a few days, it improved during hospitalization. The mpox virus was no longer detected in samples taken from the upper respiratory tract and skin by polymerase chain reaction upon admission. However, isolated perianal ulcers developed after admission without any other mpox-related symptoms or signs, and a viable mpox virus was isolated from these ulcers. Considering the novel feature of asynchronous mucocutaneous lesion development in the current mpox epidemic, meticulous physical examination of newly developing lesions, especially in anogenital areas, should be performed during mpox management.
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KEYWORD
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Mpox, Diagnosis, Korea
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