Monkeypox in-patients with severe anal pain.
Frieder PfäfflinDaniel WendischRoland SchererLinda JürgensGisèle Godzick-NjomgangEva TranterPinkus Tober-LauMiriam Songa StegemannVictor Max CormanFlorian KurthDirk SchürmannPublished in: Infection (2022)
Berlin is amongst the cities most affected by the current monkeypox outbreak. Here, we report clinical characteristics of the first patients with confirmed monkeypox admitted to our center. We analyzed anamnestic, clinical, and laboratory data. Within a period of 2 weeks, six patients were hospitalized in our unit. All were MSM and had practiced condomless receptive anal intercourse in the weeks preceding admission. The chief complaint in all patients but one was severe anal pain unprecedented in severity. Investigations revealed proctitis, as well as anal and rectal ulcers with detection of monkeypox virus. Our findings support the hypothesis that sexual transmission plays a role in the current outbreak.
Keyphrases
- end stage renal disease
- ejection fraction
- newly diagnosed
- chronic kidney disease
- chronic pain
- men who have sex with men
- emergency department
- prognostic factors
- peritoneal dialysis
- early onset
- mental health
- neuropathic pain
- machine learning
- spinal cord
- electronic health record
- artificial intelligence
- spinal cord injury
- sensitive detection
- loop mediated isothermal amplification