PDF(Pubmed)
Abstract：
UNASSIGNED: Mpox, formerly known as monkeypox, is a zoonotic virus in the genus Orthopoxvirus, which has a variable incubation period and an extensive array of symptoms. While those infected with Mpox have displayed generalized viral prodromal symptoms, atypical symptoms such as proctitis have also been seen. Proctitis associated with Mpox is a relatively infrequent initial presenting symptom with a reported incidence of 14-32.9% that has seen an uptick in prevalence since the 2022 global endemic.
UNASSIGNED: We present a confirmed case of Mpox in a 27-year-old male who presented with 3 days of intermittent anorectal bleeding and various forms of cutaneous lesions at different stages of healing. He had engaged in unprotected sexual intercourse 8 days prior to the onset of his symptoms in New York, which at the time was the epicenter of the endemic. Computed tomography imaging showed thickening of the rectum with associated lymphadenopathy, consistent with findings of acute proctitis.
UNASSIGNED: The intent of this case report is to acknowledge the prevalence of the Mpox virus. Since the endemic, increased cases of Mpox have led to more complications that have been identified and studied by public health experts. The complication of proctitis due to Mpox in a certain subset of patients is important to fully understand that while this virus presents with a generalized prodrome like other viruses, these unique gastrointestinal presentations and findings may be the first step in identifying this infection and ensuring rapid treatment if future endemics arrive.
UNASSIGNED: We present a confirmed case of Mpox in a 27-year-old male who presented with 3 days of intermittent anorectal bleeding and various forms of cutaneous lesions at different stages of healing. He had engaged in unprotected sexual intercourse 8 days prior to the onset of his symptoms in New York, which at the time was the epicenter of the endemic. Computed tomography imaging showed thickening of the rectum with associated lymphadenopathy, consistent with findings of acute proctitis.
UNASSIGNED: The intent of this case report is to acknowledge the prevalence of the Mpox virus. Since the endemic, increased cases of Mpox have led to more complications that have been identified and studied by public health experts. The complication of proctitis due to Mpox in a certain subset of patients is important to fully understand that while this virus presents with a generalized prodrome like other viruses, these unique gastrointestinal presentations and findings may be the first step in identifying this infection and ensuring rapid treatment if future endemics arrive.
摘要：
■天花，以前被称为猴痘，是正痘病毒属的人畜共患病毒，具有可变的潜伏期和广泛的症状。虽然感染了水痘的人表现出广泛的病毒前驱症状，如直肠炎等非典型症状也已出现。与水痘相关的直肠炎是一种相对罕见的初始症状，报告的发病率为14-32.9％，自2022年全球地方病以来，患病率有所上升。
■我们介绍了一例确诊的Mpox病例，该病例为一名27岁男性，在愈合的不同阶段出现了3天的间歇性肛门直肠出血和各种形式的皮肤病变。他在纽约出现症状前8天进行了无保护的性交，当时是地方病的震中。计算机断层扫描显示直肠增厚并伴有淋巴结病，与急性直肠炎的发现一致。
■本病例报告旨在确认水痘病毒的流行程度。自从地方病以来，水痘病例的增加导致了更多的并发症，公共卫生专家已经确定和研究。在某些子集的患者中，由于水痘引起的直肠炎的并发症对于充分了解尽管该病毒与其他病毒一样表现为广泛的前驱症状非常重要，这些独特的胃肠道表现和发现可能是识别这种感染并确保在未来地方病到来时快速治疗的第一步.
■我们介绍了一例确诊的Mpox病例，该病例为一名27岁男性，在愈合的不同阶段出现了3天的间歇性肛门直肠出血和各种形式的皮肤病变。他在纽约出现症状前8天进行了无保护的性交，当时是地方病的震中。计算机断层扫描显示直肠增厚并伴有淋巴结病，与急性直肠炎的发现一致。
■本病例报告旨在确认水痘病毒的流行程度。自从地方病以来，水痘病例的增加导致了更多的并发症，公共卫生专家已经确定和研究。在某些子集的患者中，由于水痘引起的直肠炎的并发症对于充分了解尽管该病毒与其他病毒一样表现为广泛的前驱症状非常重要，这些独特的胃肠道表现和发现可能是识别这种感染并确保在未来地方病到来时快速治疗的第一步.
