PMC9685100_01
(a) Monkeypox infection located in the perianal region with central
umbilicated vesiculopustular rash and erythematous base. (b) Crusting and
scabbing on day 7 of tecovirimat therapy. (c) Complete resolution of
vesiculopustular lesions 21 days since initial symptoms began and after
completing a 14-day course of tecovirimat therapy which are now exhibiting
pigmented scarring.
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PMC9685100_01_10.1177_20499361221138349-fig1.jpg
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A 40-year-old Caucasian male living in Florida with past medical history of well-controlled HIV disease [HIV RNA < 20 copies/ml; CD4 count (29%) 742 cells/microl] presented with a new painful, itchy, vesiculopustular rash surrounding the anus and perianal region [Figure 1(a)]. Resolving features of the existing vesiculopustular rash were seen with crusting and scaling of the lesions [Figure 1(b)]. New skin formed in the areas of the previous rash, with most lesions exhibiting pigmented scarring as seen on the wrist (Figure 2) and perianal lesions [Figure 1(c)].
Pigmented scarring of healed monkeypox lesion located on the wrist.
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New skin formed in the areas of the previous rash, with most lesions exhibiting pigmented scarring as seen on the wrist (Figure 2) and perianal lesions [Figure 1(c)].
PMC9685100_02