Simultaneous Multiple-Stages Mpox Genital Lesions on the Same Site in a Traveler to Greece: A Case Report
Anna Tagka,
Styliani Geronikolou,
Apostolos Evaggelopoulos,
Sotiria Grigoropoulou,
Dimitra Kavatha,
Chryssoula Botsi,
Aggeliki Papadopoulou,
Kyriaki Tryfinopoulou,
Antigoni Katsoulidou,
Styliani Pappa,
Anna Papa,
Vasilios Paparizos,
Electra Nicolaidou,
Sotirios Tsiodras,
Alexandros J. Stratigos
Affiliations
Anna Tagka
1st Department of Dermatology and Venereology, Athens Medical School, “Andreas Syggros” Hospital for Skin and Venereal Diseases, National and Kapodistrian University, 15772 Athens, Greece
Styliani Geronikolou
Clinical Translational and Experimental Surgery Center, Biomedical Research Foundation of the Academy of Athens, 11527 Athens, Greece
Apostolos Evaggelopoulos
1st Department of Dermatology and Venereology, Athens Medical School, “Andreas Syggros” Hospital for Skin and Venereal Diseases, National and Kapodistrian University, 15772 Athens, Greece
Sotiria Grigoropoulou
4th Department of Internal Medicine, Athens Medical School, National and Kapodistrian University, 11527 Athens, Greece
Dimitra Kavatha
4th Department of Internal Medicine, Athens Medical School, National and Kapodistrian University, 11527 Athens, Greece
Chryssoula Botsi
1st Department of Dermatology and Venereology, Athens Medical School, “Andreas Syggros” Hospital for Skin and Venereal Diseases, National and Kapodistrian University, 15772 Athens, Greece
Aggeliki Papadopoulou
1st Department of Dermatology and Venereology, Athens Medical School, “Andreas Syggros” Hospital for Skin and Venereal Diseases, National and Kapodistrian University, 15772 Athens, Greece
Kyriaki Tryfinopoulou
Central Public Health Laboratory, National Public Health Organization, 15123 Athens, Greece
Antigoni Katsoulidou
Central Public Health Laboratory, National Public Health Organization, 15123 Athens, Greece
Styliani Pappa
Department of Microbiology, Medical School, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
Anna Papa
Department of Microbiology, Medical School, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
Vasilios Paparizos
1st Department of Dermatology and Venereology, Athens Medical School, “Andreas Syggros” Hospital for Skin and Venereal Diseases, National and Kapodistrian University, 15772 Athens, Greece
Electra Nicolaidou
1st Department of Dermatology and Venereology, Athens Medical School, “Andreas Syggros” Hospital for Skin and Venereal Diseases, National and Kapodistrian University, 15772 Athens, Greece
Sotirios Tsiodras
4th Department of Internal Medicine, Athens Medical School, National and Kapodistrian University, 11527 Athens, Greece
Alexandros J. Stratigos
1st Department of Dermatology and Venereology, Athens Medical School, “Andreas Syggros” Hospital for Skin and Venereal Diseases, National and Kapodistrian University, 15772 Athens, Greece
A 47-year-old Caucasian traveller from an mpox (formerly monkeypox and also best suited abbreviated MPX)-endemic country was referred for a skin rash, of recent onset, confined to the genital area. The rash consisted of erythematous umbilicated papules, vesicles and pustules with a characteristic white ring. The lesions were observed simultaneously at different stages of progression on the same anatomical site, a clinical presentation that is not encountered frequently. The patient was febrile, fatigued and had blood-tinged cough. The clinical suspicion of mpox was raised, and the initial real-time PCR identified a non-variola orthopox virus, which was confirmed at the National Reference Laboratory to belong to the West African clade.
