PMC9889299_01
Lesions on his left thigh and right forearm initially in the course of the disease; lesions tested positive for monkeypox virus (MPXV).
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He had a total of-5-6 lesions (Fig. 1).
Timeline of events from the beginning of symptom-onset (day 0).
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Eventually, he returned to our emergency room two days after the completion of a 14-day course of tecovirimat and 35 days after the first symptom (Fig. 2).
Diffuse skin lesions noted in abdomen, leg, arm pit and palm noted later in the course of the disease at the time of diagnosis of secondary syphilis. Arm pit lesion surface tested positive for MPXV by PCR.
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He was noted to have a diffuse maculopapular rash throughout his body, different from the original lesions that were present at the time of diagnosis of MPX (Fig. 3).