Atypical oral presentation of monkeypox virus: A report of two cases from Florence, Italy

Pisano, L; Turco, Martina; Mancuso, Fabrizio Rocco; Lastrucci, Irene; Pimpinelli, Nicola

doi:10.1016/j.tmaid.2022.102457

Cited by 12 publications

(18 citation statements)

References 6 publications

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“…A total of 437 articles were reviewed after eliminating duplicates ( n = 372). Fifty-three articles qualified for inclusion in this systematic review after being chosen from 81 after being screened for titles and abstracts [ 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , …”

Section: Resultsmentioning

confidence: 99%

“…The studies ( n = 53) described cases of concurrent Mpox and HIV infection, including the number of cases, HIV infection, history of sexually transmitted diseases, method of Mpox diagnosis, clinical manifestations, location, and progression of skin lesions, CD4+ T-cell count, HIV viral load, treatment, and outcome ( Table 2 and Table 3 ). Table 2 presents a summary of the general features of the publications included in this review [ 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 ,…”

Section: Resultsmentioning

confidence: 99%

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Epidemiologic Situation of HIV and Monkeypox Coinfection: A Systematic Review

et al. 2023

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The most recent monkeypox (Mpox) outbreak is mostly affecting men who have sex with men (MSM) who participate in high-risk sexual behaviors, which is typically the case among human immunodeficiency virus (HIV) carriers, according to clinical and epidemiological statistics. The objective of this research is to determine the epidemiological situation of HIV and smallpox co-infection. Until 1 October 2022, a thorough evaluation of the literature was conducted utilizing the databases PubMed, Embase, Scopus, and Web of Science. Studies were evaluated based on the criteria for selection. Fifty-three studies met the selection criteria. A total of 6345 confirmed cases of monkeypox were recorded, and 40.32% (n = 2558) of these cases also had HIV co-infection. In addition, 51.36% (n = 3259) of the men (91.44%; n = 5802), whose ages ranged from 18 to 71 years, exhibited MSM-specific sexual behaviors. Co-infection with these two viruses can be especially dangerous because it can exacerbate the symptoms of both diseases and make them more difficult to treat. People with HIV are more vulnerable to certain infections, including monkeypox, because their immune systems are weakened. Therefore, it is important that they take measures to prevent infection, such as avoiding contact with infected animals, risky behaviors, and maintaining good hygiene.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Epidemiologic Situation of HIV and Monkeypox Coinfection: A Systematic Review

et al. 2023

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“…In addition, reported cases of monkeypox with sexually transmitted infections were: 28.1% had HIV ( n = 1274) [ 18 , 20 , 21 , 26 , 28 , 31 , 32 , 42 , 44 , 47 , 49 , 53 , 54 , 56 , 58 , 62 , 63 , 64 , 65 , 66 , 68 , 69 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 79 , 80 , 82 , 85 , 86 ], 2% had Syphilis ( n = 89) [ 18 , 32 , 38 , 40 , 44 , 50 , 54 , 57 , 58 , 60 , 65 , 67 , 69 , 71 , 72 , 74 , 77 ...…”

Section: Resultsmentioning

confidence: 99%

Detection of Monkeypox Virus according to The Collection Site of Samples from Confirmed Cases: A Systematic Review

et al. 2022

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Due to the rapid evolution of the monkeypox virus, the means by which the monkeypox virus is spread is subject to change. Therefore, the present study aims to analyze the detection of the monkeypox virus according to the collection site of samples from confirmed monkeypox cases. A systematic literature review was performed using PubMed, Scopus, Web of Science, and Embase databases until 5 October 2022. A total of 1022 articles were retrieved using the search strategy. After removing duplicates (n = 566) and examining by title, abstract, and full text, 65 studies reporting monkeypox case reports were included with a detailed description of risk factors, sexually transmitted infections (STIs), site of monkeypox virus-positive specimens, location of skin lesions, and diagnostic test. A total of 4537 confirmed monkeypox cases have been reported, of which 98.72% of the cases were male with a mean age of 36 years, 95.72% had a sexual behavior of being men who have sex with men, and 28.1% had human immunodeficiency virus (HIV). The most frequent locations of lesions in patients diagnosed with monkeypox were: 42.85% on the genitalia and 37.1% in the perianal region. All confirmed monkeypox cases were diagnosed by reverse transcriptase polymerase chain reaction (RT-PCR), and the most frequent locations of samples collected for diagnosis that tested positive for monkeypox virus were: 91.85% from skin lesions, 20.81% from the oropharynx, 3.19% from blood, and 2.43% from seminal fluid. The disease course of the cases with monkeypox was asynchronous, with no severe complications, and most patients did not report specific treatment but simply followed a symptomatic treatment.

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“…Unilesional or paucilesional cases were often reported [ 5 ]. In a preliminary evaluation, these lesions could be mistaken for sexually transmitted diseases such as syphilis, lymphogranuloma venereum, molluscum contagiosum and Herpes simplex virus infection [ 5 , 6 ].…”

mentioning

confidence: 99%

“…An additional non-invasive diagnostic tool that dermatologists have at their disposal is dermoscopy, already used in various non-neoplastic, inflammatory and infectious dermatoses, to integrate anamnestic findings and clinical examination. Dermoscopy can be helpful when we observe skin lesions similar to that of MPXV infection, showing a recurrent and quite specific pattern with central ulceration-crust, white peripheral halo, pink round structures and surrounding erythema [ 6 , 7 ].…”

mentioning

confidence: 99%