Monkeypox presenting as supraglottitis in an immunocompromised patient

Abstract

We describe a young man with AIDS who presented to the ear, nose and throat team with a severe sore throat mimicking supraglottitis. He had a 3-day history of sore throat, hoarse voice, fevers and myalgia. On examination, he had cervical lymphadenopathy and profuse pus overlying his right tonsil. On flexible nasoendoscopy, this pus was seen to track down to the supraglottis, with associated mucosal ulceration. The patient was treated for supraglottitis and he improved. 24 hours postadmission, a pustule suspicious for monkeypox developed on the patient’s hand. The diagnosis was confirmed by PCR testing. The patient was isolated and treated supportively and recovered fully. This case highlights that monkeypox may present with a severe sore throat without cutaneous lesions. Monkeypox is a growing public health concern . Its early symptoms are non-specific and healthcare professionals should be alert to it.

Oral Manifestations in Monkeypox: A Scoping Review on Implications for Oral Health

“…The total number of patients included in these studies was 54. Twenty-five of them were in the USA [19][20][21][22][23][24][25][26][27][28], three in Germany [10,29], six in Italy [30][31][32][33], one in the Republic of Congo [34], one in the Republic of Korea [35], two in India [36], three in the UK [37,38], one in Romania [39], one in the Czech Republic [40], two in France [41,42], six in Brazil [43][44][45], one in Portugal [46], and two in Columbia [47]. There were 43 (79.62%) males and 11 (20.37%) females.…”

Mpox in people with HIV: A narrative review

“…Dysuria, penile oedema and phimosis due to genital lesions were observed during the 2022 mpox outbreak [22]. Acute tonsillitis, peritonsillar abscesses and supraglottitis can occur before skin lesions develop [49][50][51]. Ocular involvement was reported in 0.8-2.9% of cases during the 2022 outbreak [52].…”