An Italian man, who reported a series of symptoms – including fever, fatigue, and a sore throat – days after returning from a trip to Spain, is the first known case of a person testing positive for monkeypox, Covid-19 and HIV all at once, reported the Mail Online.
Earlier this year, the 36-year-old man, who has not been identified, spent five days in Spain from June 16 to June 20. During his stay in the country, he admitted to having unprotected sex with multiple men.
Days after his return home, on July 2, he tested positive for Covid, the report said, citing a case study in the Journal of Infection.
The same afternoon, he began developing a rash on his left arm. The next day, small cyst-like boils appeared on his torso, lower limbs, face and glutes. They were surrounded by a rash.
By July 5, these had further spread and evolved into small bumps on the skin. It was then that the man went to the San Marco University Hospital in Italy’s Catania, where he was subsequently taken to the infectious diseases unit.
Doctors ran multiple tests and the results returned positive for monkeypox.
The multiple tests also included probes for sexually transmitted infections, or STIs. He tested positive for HIV-1. The last time he was checked for HIV infection was in September 2021, when he had tested negative.
After recovering from Covid-19 and monkeypox, he was discharged on July 11 and sent home to isolate. His skin lesions were healing, leaving just small scars.
“The case highlights how monkeypox and Covid-19 symptoms may overlap, and corroborates how, in the case of co-infection, anamnestic collection and sexual habits are crucial to perform the correct diagnosis,” the Mail Online quoted a report by researchers from the University of Catania.
“To note, the monkeypox oropharyngeal swab was still positive after 20 days, suggesting that these individuals may still be contagious for several days after clinical remission,” the report said.
Monkeypox has officially been declared a global public health emergency by the World Health Organization (WHO), with a dozen countries reporting cases of it. Nearly 32,000 monkeypox cases have been logged worldwide since the latest outbreak started in May. Over 3,000 patients have been diagnosed in the UK and 10,000 in the US.
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