RESUMO
A gay man with well-controlled HIV and vaccinated against mpox presented with severe proctitis. Testing revealed anorectal mpox, herpes simplex virus, lymphogranuloma venereum, Neisseria gonorrhoeae and Mycoplasma genitalium Serology was indicative of infectious syphilis. This case highlights the need to consider a wide range of concurrent sexually transmitted infections in patients with proctitis, including those vaccinated against mpox.
Assuntos
Gonorreia , Infecções por HIV , Linfogranuloma Venéreo , Varíola dos Macacos , Mycoplasma genitalium , Proctite , Sífilis , Masculino , Humanos , Linfogranuloma Venéreo/complicações , Linfogranuloma Venéreo/diagnóstico , Linfogranuloma Venéreo/tratamento farmacológico , Sífilis/complicações , Sífilis/diagnóstico , Sífilis/tratamento farmacológico , Gonorreia/complicações , Gonorreia/diagnóstico , Proctite/etiologia , Simplexvirus , Infecções por HIV/complicações , Homossexualidade MasculinaRESUMO
A 26-year-old man in Australia who has sex with men had severe perianal ulceration, proctitis, and skin lesions develop. Testing revealed primary syphilis, mpox, and primary HIV infection. Recent publications have documented severe mpox associated with HIV infection. Disruption of mucosal integrity by mpox lesions could enable HIV transmission and vice versa.
