Italian researchers have reported the first known case of simultaneous positive testing for monkeypox, COVID-19 and HIV. All three infections were new and occurred after a short trip to Spain.
The patient was a 36-year-old Italian man who developed fever, sore throat, fatigue, headache, and groin inflammation approximately 9 days after returning from a 5-day trip to Spain, during which time he had sex with a man. did Men without condoms.
According to a case report published in the Journal of Infection, the man tested positive for coronavirus three days after he developed symptoms. The man also suffered from COVID-19 in January, just weeks after being vaccinated.
Within hours of testing positive for coronavirus, he developed a rash on his left arm, followed by blisters all over his body over the next few days, and was taken to the emergency room of a hospital in Catania, a city on Sicily’s east coast. I’m ready to go.
A battery of tests at the hospital found positive for monkeypox, COVID-19, and HIV. An HIV test showed a high viral load (234,000 copies/mL) and his stored CD4 count, along with a negative test less than a year ago, indicates that he was recently infected.
The patient was discharged about a week later, recovering from COVID-19 and monkeypox, but with minor scarring.
“This case highlights how the symptoms of monkeypox and COVID-19 overlap, and underscores how important medical history collection and sexual habits are for making the correct diagnosis in cases of co-infection. ,” said the researchers from the University of Catania in their case report.
“Of note, monkeypox oropharyngeal swabs were still positive after 20 days, suggesting that these individuals may still be infected for several days after clinical remission.” Appropriate precautions should be encouraged.”
The researchers said, “This is the only reported case of monkeypox virus, SARS-CoV-2, and HIV co-infection, thus supporting the potential for this combination to exacerbate the patient’s condition.” We don’t have enough evidence yet.Given the current SARS-CoV-2 pandemic and the daily increase in monkeypox cases, the health system needs to be cognizant of this contingency.”