[Question #9092] Monkeypox
36 months ago
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Good afternoon docs,
I hate to keep asking the same questions but with the new monkeypox virus I’m a little anxious. I’ve recently had a few anonymous encounters with men that again involved mutual hand masturbation for a few min. About a week ago, I developed 2 small red itchy bumps on my neck. One had a tiny white spot in it. I applied antibiotic cream and they went away in a day or so. This past weekend, I developed a bad sore throat but I had spent time in an extremely dusty area so I thought that was the cause. I went to urgent care to get checked anyway and doc said it was from allergies. It hasn’t got much better in a couple days. I have had no fever or feeling of extraordinary tiredness. I noticed today I had one small itchy red bump on my side. I’m concerned I may have contracted this new thing. I should mention, only once was there a little saliva on the gentleman’s hand that touched my scrotum and butt cheeks. Nothing was ever inserted anywhere. How concerned should I be? I live in a pretty rural area, it seems most cases have been near the cities. My county has reported about 5-10 cases as of today.
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Edward W. Hook M.D.
36 months ago
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Welcome back to the Forum. In the two months since your last post, much has changed. We are still learning about monkeypox but the emerging data are that this virus can be spread by what would otherwise be consider safe encounters such as cuddling or receipt of masturbation. In addition, while the "classic" monkeypox described early in the current epidemic was characterized by flu-like symptoms such as fevers and muscle aches, even before lesions appeared, more recently it has become appreciated that the infection can occur and be transmitted by persons with mild or even no symptoms other than skin lesions. Further, we are learning that monkeypos lesions can appear in a variety of ways. I cannot tell from your description, nor could I tell from direct examination whether the lesions you describe are monkeypx or not. Statistically they are not because, while the infection is spreading and increasing in the U.S., it is still relatively rare. My advice to you is to have someone knowledgeable take a look and do a test. Testing is now widely available through public health sexual health clinics and results should come back quickly.
Sorry I can't provide more information. For the moment, testing is the best way to address your concern
EWH
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36 months ago
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Dr hook,
Thank you for the response. I’ve just done a teleconference with my physician and showed him the one little red spot. He wasn’t too concerned and said it didn’t appear to be pox like. I will now refrain from any further encounters. Would you think if it were pox, it would appear as more than just one spot. Would it be more like a rash? I’m glad to hear that statically I should be less concerned. With that said, I don’t play the odds
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Edward W. Hook M.D.
36 months ago
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Most persons with monkeypox have multiple lesions. Unfortunately not al appear pox-like but, I think your risk is low. Should new lesions appear, I'd then pursue testing. As I said, we're still learning about this infection and there certainly is much to be learned. EWH---
36 months ago
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With regards to the testing, I’d need some kind of a lesion to test correct? There’s no blood test currently for this is there? I’m so anxious and worried over this now. You don’t think the sore throat would have anything to do with it though doc? What would you guess my chances of contracting this in the way I describe are? Most everything I’ve read said that the people who contracted it had penetrative sex.
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Edward W. Hook M.D.
36 months ago
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As you know, we provide up to three responses to each client's questions. This is my 3rd response.
Yes, testing is performed using PRC tests on lesions- blood tests are not useful for making an active diagnosis.
Sore throat in not a prominent part of the presentation of monkeypox.
One of the problems with the current outbreak is that UNLIKE other more classical STIs, penetrative sex is NOT required for transmission. Transmission may occur through simply touching such as hugging.
This completes this thread. EWH.
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