Oropharyngeal manifestations of monkeypox – Case report

Abstract

A 23-year-old male patient who sought emergency care with odynophagia, total dysphagia, and 7 days of fever, treated with oral amoxicillin and clavulanic acid without improvement. The physical examination and CT scan showed tonsillitis with multiple tonsilar abscesses. Due to total dysphagia even after intravenous analgesia, hospitalization was decided for supportive fluid therapy and analgesia. During hospitalization, vesiculopustular skin lesions appeared on the upper and lower limbs and trunk. PCR and culture of the pustule and oropharyngeal exudates, and pustule skin biopsy came positive for Monkeypox virus (MPXV). He remained in isolation measures and was discharged after tolerating oral diet.