“…3,4 In addition, coinfections between mpox, herpes simplex virus, varicella zoster virus, syphilis, and gonorrhea particularly among HIV-infected homosexual men have been also reported. [5][6][7][8][9][10] This raises a speculated transmission relationship between these viruses, particularly to the current outbreaks. 12 The recent outbreaks occurring outside the usual endemic regions of mpxv, most cases were unlinked to recent travel from endemic countries, and the occurrence of multiple clusters may point to a yet undetected chain of possible human-to-human transmission.…”