Paraphimosis as a complication of monkeypox infection

Arun Umesh Mahtani; Yolande Mbome Engome; Muhammad Haider; Thu Minh Vu; Crystal Delp; Edip Cemil Katayifci; Muzhafar Surahio; Ambreen Khalil; Azza Elemam

doi:10.1093/jscr/rjac533

Paraphimosis as a complication of monkeypox infection

J Surg Case Rep. 2022 Nov 26;2022(11):rjac533. doi: 10.1093/jscr/rjac533. eCollection 2022 Nov.

Authors

Arun Umesh Mahtani¹, Yolande Mbome Engome¹, Muhammad Haider¹, Thu Minh Vu¹, Crystal Delp¹, Edip Cemil Katayifci¹, Muzhafar Surahio¹, Ambreen Khalil², Azza Elemam²

Affiliations

¹ Department of Medicine, Richmond University Medical Center, Staten Island, NY 10310, USA.
² Department of Infectious Diseases, Richmond University Medical Center, Staten Island, NY 10310, USA.

Abstract

We discuss a case report of a 38-year-old uncircumcised male on pre-exposure prophylaxis for human immunodeficiency virus who presents to the emergency department for painful lesions over his penile region following unprotected sexual intercourse. Following the development of these lesions he developed painless, itchy pustules over his bilateral arms and back. He also had extensive pain and swelling over his penile region, which prevented him from unretracting his foreskin. Chlamydia trachomatis, Herpes simplex virus, Neisseria gonorrhoeae, and syphilis tests were negative. He was positive for orthopoxvirus using polymerase chain reaction. A diagnosis of paraphimosis as a complication of monkeypox infection was made.

Keywords: emerging; genital diseases; infectious disease; male; monkeypox virus; paraphimosis.

Publication types

Case Reports