In addition, over one-third of the cohort had a polymorphic rash.
"This study therefore further corroborates ongoing autochthonous transmission within the UK," the team said.HIV-1 co-infection was recorded in 70 patients , of whom 64 were receiving antiretroviral therapy . Overall, 56 out of 178 participants had a concomitant sexually transmitted infection , 12 of whom had more than one.
The authors said that solitary lesions and swollen tonsils were not previously known to be typical features of monkeypox, and could be mistaken for other conditions. Identifying new presentations, particularly novel symptoms, "should help clinicians spot infections earlier". Their paper describes cases in detail and includes photographs to assist clinicians in diagnosis.
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