We describe two cases of infectious proctitis secondary to human monkeypox in patients presenting with rectal pain.
These cases highlight the importance of multidisciplinary management of monkeypox and in expanding case definitions and enabling clinical recognition in patients presenting without skin rash.
We present an apparent second episode of mpox (monkeypox) genital
ulcerative disease in a non-immunosuppressed MSM (man who has sex with men)
patient who had completely recovered from a primary mpox infection 4 months
previously. The patient had also received a complete two-dose course of
smallpox vaccination between the two presentations. This case highlights the
importance of continuing to include mpox in the differential diagnoses for
individuals presenting with genital or mucosal ulceration, regardless of
assumed immunity derived from prior infection or vaccination.
We present a case of a transgender man symptomatic of vaginalNeisseria gonorrhoeaeinfection despite reporting no receptive vaginal sex in his recent history.
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