Crossing genitourinary limits: First case of monkeypox diagnosed by a urology service in Mexico. A diagnostic challenge

IF 0.4 Q4 UROLOGY & NEPHROLOGY Urology Case Reports Pub Date : 2025-03-06 DOI:10.1016/j.eucr.2025.103006

César A. Silva-Mendoza , Alec Anceno , Daniel R. Magdaleno-Rodríguez , Pedro A. Alvarado-Bahena , Héctor A. Miranda- Blasnich , Marco A. Ascencio-Martínez , Carlos D. Silva-Villarreal , Alyx A. Garibay-Aponte , Alicia Valdez-Gaona , Abigail Granada-Vigueras , Fernando Fernández Varela-Gómez , Jorge G. Morales-Montor

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Abstract

This case is the first documented instance of genitourinary monkeypox (Mpox) diagnosed by a urology service in Mexico, emphasizing the role of urologists in managing atypical genitourinary infections. A 28-year-old homosexual male with HIV developed penile swelling and pustular lesions, confirmed as MPXV infection by PCR. Symptomatic management was initiated, and the patient was referred for tecovirimat therapy under a clinical trial.

Mpox lesions often mimic sexually transmitted conditions, leading to diagnostic delays. Limited awareness among healthcare providers compounds these challenges. Urologists must consider Mpox in atypical genital cases, particularly in high-risk populations, to ensure timely diagnosis and treatment.

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跨越泌尿生殖系统界限：墨西哥泌尿科诊断首例猴痘病例。诊断上的挑战

本病例是墨西哥泌尿科诊断的首例泌尿生殖系统猴痘病例，强调了泌尿科医生在管理非典型泌尿生殖系统感染中的作用。28岁男同性恋HIV患者出现阴茎肿胀和脓疱性病变，经PCR证实为MPXV感染。开始进行症状管理，并在临床试验中推荐患者接受替科维玛治疗。m痘病变通常与性传播疾病相似，导致诊断延误。医疗保健提供者的认识有限，使这些挑战更加复杂。泌尿科医生必须考虑非典型生殖器病例，特别是高危人群的m痘，以确保及时诊断和治疗。

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