This case study highlights the symptoms and course of evolution of monkeypox infection in a 31-year-old man. The patient was admitted with a complaint of perianal and penile ulcers, rectal pain, and vesiculopustular rash. Nine days before the admission, the patient noticed several itchy white “bumps” around the anus that later turned into ulcers (cover image A). Despite treatment with antibiotics and antiviral agents, the patient developed painful proctitis with rectal bleeding and malodorous mucopurulent discharge after five days.
It was accompanied by fever, chills, drenching sweats, and swelling in the groin. Another painless penile ulcer and scattered vesicular lesions on the arms and legs appeared soon after. Medical history The patient was diagnosed with secondary syphilis 14 years ago and was treated with penicillin G benzathine. History of oral herpes simplex virus (HSV)…
